Impact of Thoracic Epidural Versus Serratus Anterior Plane Block Versus Erector Spinae Plane Bloc… (NCT05409144) | Clinical Trial Compass
UnknownNot Applicable
Impact of Thoracic Epidural Versus Serratus Anterior Plane Block Versus Erector Spinae Plane Block on Incidence of PTPS
111 participantsStarted 2022-06-20
Plain-language summary
The aim of this study is to evaluate the impact of Ultrasound-guided Erector Spinae plane block compared to Ultrasound-guided serratus anterior plane block on the emergence of post-thoracotomy pain syndrome in patients undergoing lobectomy for lung cancer.
Who can participate
Age range18 Years – 65 Years
SexALL
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Inclusion Criteria:
* Age (18-65) Years
* Physical status American Society of Anesthesiologists Classification II, III
* Patients undergoing lobectomy through lateral thoracotomy
* Body mass index (BMI): (20-40) kg/m2
Exclusion Criteria:
* Patient refusal.
* Age \<18 years or \>65 years
* Body mass index (BMI) \<20 kg/m2 and \>40 kg/m2
* Known sensitivity or contraindication to drugs used in the study
* Contraindication to regional anesthesia e.g. local infection at site of introduction, pre-existing peripheral neuropathies and coagulopathy.
* Pregnancy.
* Physical status American Society of Anesthesiologists Classification IV
* patients on chronic analgesic therapy (daily morphine ≥30 mg or equivalent dose of other opioids or tramadol or any medication for neuropathic pain)
* patients with a history of drug abuse
* patients with neuropsychiatric diseases; patients with a history of chronic pain syndromes that may enhance sensitivity to pain, for example, fibromyalgia
* patients with a history of thoracic surgery through lateral thoracotomy; and patients with recurrent chest malignancies within 3 months.
* All patients who developed severe intra- or post-operative bleeding or required postoperative mechanical ventilation were also excluded from the study.
* Thoracic spine disorders or deformity.
What they're measuring
1
Incidence of patients developing post-thoracotomy pain syndrome