A Randomized Clinical Trial Comparing Transverse Thoracic Plane Block, Midpoint Transverse Process Plane to Pleura Block and Erector Spinae Plane Block for Analgesia in Patients Undergoing Thoracoscopic Sympathectomy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Time to the 1st rescue analgesia
研究概览
简要总结
This study compares the transversus thoracic muscle plane block (TTPB), midtransverse to pleura block (MTPB), and erector spinae plane block (ESPB) for postoperative analgesia in patients undergoing thoracoscopic sympathectomy.
详细描述
Thoracoscopic sympathectomy is a well-established procedure for the treatment of various hyperhidrosis disorders and certain vascular conditions, involving the division of sympathetic nerve fibers in the thoracic cavity.
The erector spinae plane block (ESPB) is an interfascial regional anesthesia block for thoracic analgesia which can be performed by superficial or deep needle approach.
The mid-transverse to pleura block (MTPB) was first described as a modified paravertebral block.
Transversus thoracic muscle plane block (TTPB) is a newly developed technique in which LA is injected into the fascial plane between the transversus thoracic muscle and the internal intercostal muscles for blocking the anterior cutaneous branches of intercostal nerves from thoracic (Th) 2 to Th 6.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age from 18 to 65 years.
- •Both sexes.
- •American Society of Anesthesiology (ASA) physical status I-II.
- •Scheduled for thoracoscopic sympathectomy
排除标准
- •Coagulopathy.
- •History of opiate abuse.
- •Pre-existing chronic pain.
- •Allergy to local anesthetics or analgesics.
- •Infection at the site of injection.
- •Mental or neurological disorders.
- •Pregnancy
研究组 & 干预措施
Transverse thoracic plane block group
Patients will receive a transverse thoracic plane block.
干预措施: Transverse thoracic plane block (Other)
Midpoint transverse process plane to pleura block group
Patients will receive a midpoint transverse process plane to pleura block.
干预措施: Midpoint transverse process plane to pleura block (Other)
Erector spinae plane block group
Patients will receive an erector spinae plane block.
干预措施: Erector spinae plane block (Other)
结局指标
主要结局
Time to the 1st rescue analgesia
时间窗: 24 hours postoperatively
Time to the first request for the rescue analgesia (time from end of surgery to first dose of morphine administrated)
次要结局
- Degree of patient satisfaction(24 hours postoperatively)
- Total morphine consumption(24 hours postoperatively)
- Degree of pain(24 hours postoperatively)
- Heart rate(Till the end of surgery (Up to 2 hours))
- Mean arterial pressure(Till the end of surgery (Up to 2 hours))
- Incidence of complications(24 hours postoperatively)
研究者
Mahmoud Abdalsattar Elmohasseb
Lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Tanta University