Pain, Chronic, Pain, Postoperative
Conditions
Keywords
Erector Spinae Plane, Erector Spinae Plane Block
Brief summary
Interventional study that evaluate dermatomal distribution and its demographic determinants in patients who underwent to Erector Spinae Plane (ESP) block
Detailed description
Interventional study that evaluate dermatomal distribution with pinprick and cold, and its demographic determinants in patients who underwent to Erector Spinae Plane (ESP) block with 20 ml of bupivacaine 0.5% at the thoracic level in patients with pain in the thorax and upper abdomen.
Interventions
PROCEDUREErector Spinae Plane Block
In patients with chest pain, ultrasound-guided Erector Spinae Plane Block block was performed at T5 transverse process in the cephalo-caudal direction with Tuohy 18 gauge needle in plane until the needle tip was located in the interfascial plane between the transverse process and the erector spinae muscles, 20 ml of bupivacaine 0.5% was administered and a catheter was inserted if indicated.
Sponsors
Universidad de Antioquia
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Assignment interventional
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Patients older than 18 years, in the acute / chronic pain service that presents pain in the thoracic region and / or upper hemiabdomen.
Exclusion criteria
* Women in pregnancy * Patients with less than 50 Kg of weight * Dissent of informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dermatomes with sensitive block | 60 minutes | Number (average) of dermatomes with sensitive block with pinprick and cold achieved at 60 minutes after the Erector Spinae Plane (ESP) block with 20 ml of bupivacaine 0.5%. Also, observe the distribution pattern. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse events | 60 minutes and 24 hours | Frequency of adverse events (hypotension, pneumothorax, neurological deficit, bradycardia) after the Erector Spinae Plane (ESP) block. |
| Success rate | 60 minutes and 24 hours | Success rate (Blocking of at least 2 continuous dermatomes at the puncture site measured with pinprick and cold) |
| Degree of satisfaction | 60 minutes and 24 hours | Degree of satisfaction evaluated with the Likert scale of 4 points (1 dissatisfied, 2 slightly dissatisfied, 3 slightly satisfied, 4 satisfied). |
| weight | 60 minutes | weight in kilograms and its correlation with the main result The variables were grouped in means (standard deviation) for continuous variables and frequencies (percentages) for categorical variables. |
| Height | 60 minutes | Height in meters and its correlation with the main result The variables were grouped in means (standard deviation) for continuous variables and frequencies (percentages) for categorical variables. |
| Age | 60 minutes | Age in years and its correlation with the main result The variables were grouped in means (standard deviation) for continuous variables and frequencies (percentages) for categorical variables. |
| Visual Analogue Scale (VAS) | 60 minutes and 24 hours | Change From Baseline in Pain Scores on the Visual analogue scale (VAS) from 1 to 10 at 60 minutes and 24 hours after the ESP block. |
Countries
Colombia
Outcome results
None listed