Comparing Efficacy of Different Types Serratus Anterior Block for Thoracotomy
Status:
Recruiting
Trial end date:
2023-09-10
Target enrollment:
Participant gender:
Summary
We aim to compare efficacy and efficiency of serratus anterior block with bupivacaine alone
to bupivacaine/magnesium and bupivacaine /nalbuphine in postoperative analgesia for
thoracotomy surgery.
Objectives:
To compare bupivacaine alone, bupivacaine/magnesium and bupivacaine /nalbuphine in serratus
anterior plane block for intraoperative and postoperative analgesia for thoracotomy surgery.
- The time for 1st rescue analgesia.
- Calculation of the opioid requirements; (the total intra-operative post-operative
morphine consumption in first 24h postoperative).
- Assessment of pain score (VAS)- rest, VAS-movement, VAS-cough during post-operative
24hrs period.
Hypothesis:
We hypothesize that magnesium sulfate and nalbuphine can reduce acute postoperative pain and
result in efficacious postoperative analgesia due to block of the lateral cutaneous branches
of the intercostal nerves (T2 - T6) by diffusion across the inter-fascial planes.