To study erector spinae block and epidural anesthesia technique for pain relief in lung surgery

Completed

Conditions: Medical and Surgical,

Registration Number: CTRI/2023/07/055308

Lead Sponsor: Aseem Gargava

Brief Summary: Introduction: Erector spinae plane block is a novel technique of analgesia especially in the thoracic dermatomes. Multiple studies have been done in the past but for sternotomy in cardiac surgeries. Their is a paucity in literature for its analgesic response in thoracotomy and lung surgeries. we thought it would be worthwhile to compare its analgesic efficacy with that of conventional thoracic epidural technique and also to look for any complications or side effects if any.

AIM : To study the analgesic efficacy of erector spinae plane block and continous thoracic epidural analgesia in patients undergoing thoracotomy surgeries

Methodology: patient will be induced using standard general anaesthesia technique followed by administration of erector spinae plane block or thoracic epidural depending upon whichever group the patient is alloted to which will be decided by randomisation using sealed envelope technique. The principal investigator will be administering the block and the assesor will be coinvestigator who will be blinded regarding the procedure. The data will be assessed by a third investigator who is unaware of the group allotment, block administered and the data collected.

Statistical analysis will be done using SPSS of current version. continuous variables will be measured according to appropriate tools of analysis.

Limitations: postoperative pain after 48 hours will not be analysed. Pain during movement or positioning will not be analysed.

Patient requiring prolong ventilation (>48hours) or patient re intubated in first 48 hours will be excluded from the study.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 40

Inclusion Criteria

all patients of above age group posted for thoracotomy surgeries.

Exclusion Criteria

Patient refusal, pregnancy, coagulopathies, seizure disorder, ASA grade III and above, patients on anticoagulants, drug allergy to bupivacaine or history of cardiac or hepatic or renal disorder.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
percentage decrease in pain using visual analogue scale	immediate postyoperative period followed by every hourly for next 24 hours

Secondary Outcome Measures

Name	Time	Method
total rescue analgesic requirement	in first 48 hours (in mg)
percentage change in spirometry from baseline	every one hourly in post operative period till 48 hours.
total duration of ventilation	in postoperative period
Total ICU stay	in number of days

Trial Locations

Locations (1): Gandhi medical college
🇮🇳
Bhopal, MADHYA PRADESH, India
Gandhi medical college
🇮🇳Bhopal, MADHYA PRADESH, India
Dr Aseem Gargava
Principal investigator
8860494714
aseemgargava@gmail.com