Anaesthesia
Conditions
Interventions
erector spinae plane block
Sponsors
faculity of medicine ain shams university
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1- 18 years or older of either sex. 2- Patients with American Society of Anesthesiologists (ASA) physical status 1–2 who will be scheduled for video assisted thoracic surgery.
Exclusion criteria
Exclusion criteria: 1- History of allergy to the medications used in the study. 2- Contraindication to regional anesthesia (including coagulopathy (platelet count = 80,000, INR = 1.5) and local infection). 3- Severe hepatic impairment (INR = 1.5, Bilirubin = 2, Albumin = 2). 4- Renal dysfunction (GFR < 50ml/min). 5- Psychiatric disorder. 6- Pregnancy. 7- Body mass index (BMI) = 40 or = 18 kg/m2. 8- VATS procedure converted to open. 9- Patient with history of thoracic spine surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cumulative post-operative morphine consumption in the first 48 hr post-operatively. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1- Post-operative pain severity assessed by VAS (at 0 point (the full recovery state), 1 hr, 2 hr, 4 hr, 6 hr, 12 hr, 18 hr, 24 hr, 36 hr and 48 hr at rest and during cough). 2- Procedure time from scanning to injection of local anesthetic (LA) correctly. 3- The onset of the block. 4- Patient satisfaction during procedure (score 1-4 (1= very dissatisfied, 2= dissatisfied, 3= satisfied, 4= very satisfied)) (17). 5- Patient satisfaction after 1st post-operative day (score 1-4 (1= very dissatisfied, 2= dissatisfied, 3= satisfied, 4= very satisfied)). 6- Incidence of post-operative nausea and vomiting. 7- Incidence of complications (hematoma, procedure induced pneumothorax, LA toxicity, respiratory depression). | — |
Countries
Egypt
Contacts
Public Contactfarouk abd elaziz
lecturer of Anesthesia Intensive Care and Pain Management
Outcome results
None listed