Carotid Endarterectomy, Regional Anesthesia
Conditions
Keywords
Regional anesthesia, Erector spinae plane block, Carotid endarterectomy, Ultrasound guidance
Brief summary
To assess the incidence of hemi-diaphragmatic paresis following ultrasound-guided erector spinae plane (ESP) block
Detailed description
The ultrasound (USG) guided ESP block was first defined in 2016. With the administration of local anesthesia between the transverse process of the vertebra and the erector spinae muscle, it is stated that the effect mechanism of ESP is that spread blocks the ventral and dorsal rami to the paravertebral area. The aim of the study is to assess the incidence of hemi-diaphragmatic paresis following ultrasound-guided erector spinae plane block.
Interventions
OTHERESP block
ESP block performed using ultrasound guidance. Diaphragmatic excursion was measured using M-mode ultrasound during normal breathing, deep breathing and with the sniff manoeuvre.
Sponsors
Antalya Training and Research Hospital
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* 18 - 85 years * American Society of Anesthesiology (ASA) I-III * elective carotid endarterectomy
Exclusion criteria
* patient's refusal * under 18 years of age or over 65 years of age * ASA IV and above * known allergy to local anaesthetic drugs * the block cannot be applied due to bleeding disorders or localized skin infection at the injection site * history of neurological and/or neuromucular disease * history of severe bronchopulmonary disease * a moderate to severe decrease in preoperative pulmonary function, or abnormality in preoperative chest radiography data (pleural effusion, pneumothorax, or hemidiaphragm elevation) * emergency surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| incidence of hemi-diaphragmatic paresis | 30 minutes | Diaphragmatic excursion was measured using M-mode ultrasound during normal breathing, deep breathing and with the sniff manoeuvre. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| opioid consumption | 1 hour | intraoperative opioid consumption will be recorded |
| postoperative analgesia consumption | 24 hours | postoperative analgesia consumption for 24 hours will be recorded |
| intraoperative local anesthetic consumption | 1 hour | amount of intraoperative additional local anesthetic consumption will be recorded |
| Postoperative Numeric Rating Scale (NRS) score | 24 hours | postoperative pain assessment will be recorded using NRS score (NRS 0=no pain, NRS 10= most severe possible) |
Countries
Turkey (Türkiye)
Outcome results
None listed