Health Condition 1: J984- Other disorders of lung Health Condition 2: null- Patients posted for lung surgeries in DR BRA IRCH, AIIMS
Conditions
Interventions
Intervention1: Paravertebral and serratus anterior plane block: Paravertebral group will get postoperative continuous infusion of ropivacaine through paravertebral catheter while the other group will
Sponsors
Dr Anuradha Patel
Eligibility
Inclusion criteria
Inclusion criteria: A total of fifty patients between 18-72 years of age, of either sex belonging to American Society of Anesthesiologists (ASA) physical status I, II or III undergoing elective thoracotomy will be recruited in the study.
Exclusion criteria
Exclusion criteria: 1. Patient with infection at the site of injection 2. Coagulopathy 3. Spine deformity 4. Drug addicts or history of opioid dependence 5. Patients on chronic analgesic therapy 6. Patients with history of allergy to opioids or local anaesthetics 7. Patients with liver disease, cardiac disease or renal failure 8. Patients requiring postoperative mechanical ventilation 9. Patients receiving anticoagulation or any bleeding disorder 10. Patient refusal 11. Age 72 years 12. ASA IV/V 13. Psychiatric illness 14. Pregnant patients 15. Patients unable to comprehend NRS and Patient controlled intravenous analgesia (PCIA) 16. Emergency surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Analgesic efficacy in terms of total morphine consumption in 24 hours postoperatively.Timepoint: Analgesic efficacy in terms of total morphine consumption in 24 hours postoperatively. | — |
Secondary
| Measure | Time frame |
|---|---|
| Comparing efficacy of continuous ropivacaine infusion through paravertebral route with respect to SAPB in patients undergoing thoracotomy for lung surgery in terms of 1. NRS pain scores 2. Number of thoracic segments blocked 3. Side effects of block techniques and drugs Timepoint: 24 hours after surgery | — |
Countries
India
Contacts
Public ContactAnuradha Patel
AIIMS
Outcome results
None listed