Overview

US-Guided Serratus Anterior Plane Block Versus Thoracic Epidural in Patients Undergoing Thoracotomy

Status:
Completed
Trial end date:
2022-03-01
Target enrollment:
0
Participant gender:
All
Summary
Thoracic surgeries is known to be one of the most painful surgeries . Multiple analgesic techniques have been used for post operative analgesia including Thoracic epidural , Patient Controlled Analgesia and systemic opioids. Opioids are associated with multiple sied effects including : PONV , Respiratory depression and ileus while thoracic epidural has its own complications such as hemodynamic instability , injury of spinal cord, pneumothorax and epidural hematoma. Peripheral nerve blocks provide good alternative for perioperative analgesia. The purpose of our study is to compare the effectiveness of perioperative continuous serratus anterior plane block versus continuous thoracic epidural in pain management during thoracic surgeries for malignancy resection.
Phase:
N/A
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
National Cancer Institute, Egypt
Treatments:
Bupivacaine
Epinephrine
Lidocaine
Criteria
Inclusion Criteria:

- Physical status ASA II and III.

- Body mass index (BMI): > 20 kg/m2 and < 40 kg/m2.

- A patient undergoing thoracotomy for cancer surgery (Lobectomy, Pneumonectomy, and
Decortication).

Exclusion Criteria:

- Patient refusal

- Known sensitivity or contraindication to local anesthetics.

- History of psychological disorders.

- Localized infection at the site of block.

- Coagulopathies with a platelet count below 50,000 or an INR>1.5: hereditary (e.g.
hemophilia, fibrinogen abnormalities & deficiency of factor II) - acquired (e.g.
impaired liver functions with PC less than 60 %, vitamin K deficiency &therapeutic
anticoagulants drugs),History of unexplained or easy bruising and Prolonged bleeding
from small cuts or after dental procedures.

- patients need prolonged mechanical ventilation postoperatively excluded from our
study.

- failed blocks will be excluded from our study