Hemi-diaphragmatic Paresis After Erector Spinae Plane Block

Antalya Training and Research Hospital7 enrolled

Overview

To assess the incidence of hemi-diaphragmatic paresis following ultrasound-guided erector spinae plane (ESP) block

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.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Regional Anesthesia Carotid Endarterectomy

Interventions

ESP blockOTHER

ESP block performed using ultrasound guidance. Diaphragmatic excursion was measured using M-mode ultrasound during normal breathing, deep breathing and with the sniff manoeuvre.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 85 Years

Medical Language ↔ Plain English

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

Locations (1)

Antalya Training and Research Hospital, Department of Anesthesiology and Reanimation

Antalya, Turkey (Türkiye)

Outcomes

Primary Outcomes

incidence of hemi-diaphragmatic paresis

Diaphragmatic excursion was measured using M-mode ultrasound during normal breathing, deep breathing and with the sniff manoeuvre.

Time frame: 30 minutes

Secondary Outcomes

opioid consumption

intraoperative opioid consumption will be recorded

Time frame: 1 hour

postoperative analgesia consumption

postoperative analgesia consumption for 24 hours will be recorded

Time frame: 24 hours

intraoperative local anesthetic consumption

amount of intraoperative additional local anesthetic consumption will be recorded

Time frame: 1 hour

Postoperative Numeric Rating Scale (NRS) score

postoperative pain assessment will be recorded using NRS score (NRS 0=no pain, NRS 10= most severe possible)

Time frame: 24 hours

Data from ClinicalTrials.gov

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