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Tramadol Hydrochnoride as Adjuvant to Local Anesthetic in Ultrasound Guided Erector Spinea Plane Block in Management of Chronic Chest Wall Cancer Pain

Egypt30 participantsStarted 2020-09-01

Plain-language summary

Chest wall pain is a severe and distressing symptom. The erector spinae plane block (ESPB) is an interfascial plane block where local anesthetic is injected between the erector spine muscle and the transverse process. It is a simple procedure, with easy sonographic landmarks, for postoperative analgesia in patients undergoing thoracic, abdominal, lumbar, and urologic surgery. The ESPB was initially described to relieve chronic pain from metastatic disease and rib fractures.

Who can participate

Age range18 Years – 70 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * patients with persistent chronic chest wall cancer pain (\>6 months) with VAS pain score ≥ 5 on 0 to 10 scale despite of medical treatment with tramodine up to 200 mg daily Exclusion Criteria: * they have hypersensitivity to any of the studied drugs, * obesity (BMI \>35), * presence of local pathology such as recurrent cancer or infection at the site of injection, * abnormal coagulation profile, * an abnormal liver or renal function * unable to express their pain or * patient refusal

What they're measuring

changes in pain intensity measured by visual analog scale (VAS)

Timeframe: 10 minute after injection, every week for one month after the procedure, 2 month after the procedure

Trial details

NCT IDNCT04639154

SponsorAssiut University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2021-12-31

Contact for this trial

Shereen M Kamal, Associate professor

0100627929 sheridouh79@yahoo.com

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