An interventional study of erector spinae block and paravertebral block anesthesia in Lung Diseases and Pain, Acute, sponsored by South Egypt Cancer Institute. Recruiting at 1 site in Egypt. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2023-05-09.
Sponsored by South Egypt Cancer Institute · Not applicable, Interventional, and Prevention
Thoracotomy operations are known to be painful surgical procedures, so providing effective intraoperative and postoperative analgesia is so important for all anaesthesiologists. Ineffective pain management interferes with deep breathing, coughing, and remobilization resulting in atelectasis and pneumonia.
Ultrasound-guided ESP block is a myofascial plane block that provides analgesia for thoracic or abdominal segmental innervation depending on the level of the injection site. Thoracic epidural analgesia (TEA) is considered the gold standard analgesic technique for thoracic surgeries. But the invasiveness of this technique, the rare but serious neurologic complications and the failure rates up to 30% are the disadvantages of epidural analgesia
The aim of this study is to compare the effect of different blocks as TEA, erector spinae block or paravertebral block on improving peri-operative analgesia and post-operative outcome in pulmonary resection in adult patients.
Exclusion Criteria:
insertion of Thoracic epidural anesthesia plus GA with lung isolation using suitable size double lumen tube at level T6
Procedure: Thoracic epidural anesthesia
U/S guided erector spinae block anesthesia using 15 ml local anesthesia plus GA with lung isolation using a suitable size double-lumen tube
Procedure: erector spinae block
U/S guided paravertebral block anesthesia using 15 ml local anesthesia as total volume plus GA with lung isolation using suitable size double lumen tube
Procedure: paravertebral block anesthesia
Ultrasound-guided insertion of different analgesic procedures as paravertebral block anesthesia and paravertebral block anesthesia
Ultrasound-guided insertion of different analgesic procedures as paravertebral block anesthesia and paravertebral block anesthesia
insertion of Thoracic epidural catheter for anesthesia analgesia at level of T6
peri-operative analgesia
Visual Analogue score (resting and during cough) from 0 (no pain) to 10 (worst pain pain measurement
Time frame: up to 48 hours postoperative
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South Egypt Cancer Institute