There are limited studies comparing these two modalities ( thoracic epidural and erector spine block) for relieving the pain after thoracic surgeries .this study aim to investigate this purpose
The random sequence will be sealed in consecutively numbered opaque envelopes and kept by the study coordinator. Participants will be randomly divided into two groups according to the 1:1 ratio of ESPB group and TEB group. A research coordinator is designated to distribute and preserve randomization result. The coordinator will open the envelopes for allocation according to the order of enrolment and prepare the study drug. The participants will be blinded to the allocation. Because the needle injection of ESPB and TEB are very close, participants themselves could hardly detect the clinical differences. Anaesthesiologists who perform the nerve block and take charge of intraoperative management and surgeons are independent individuals. Only the random sequence number rather than the specific nerve block type will be recorded in the electronic anaesthesia information management system .Researchers who do not take part in the nerve block and intraoperative management are designated to postoperative follow-up. Besides, trained anaesthesiologist who do not perform the block will be designated to evaluate the clinical features of the block objectively
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
TRIPLE
Enrollment
29
In group TEB, The epidural catheter will be inserted preoperatively at the T5-T7 vertebral level; the exact level will be at the discretion of the attending anaesthesiologist. A loading dose of bupivacaine 0.25% (max 10 ml) will be administered, followed by an intraoperative infusion of bupivacaine 0.125 % with fentanyl 1 μg/ml.\].
The ESP block will be performed as described by Forero et al
Menoufia university
Cairo, Shibin Elkom, Egypt
MORPHINE CONSUMPTION
cumulative 24 h opioid (morphine) consumption
Time frame: 24 hours
Numeric rating scale
is an 11-point scale scored from 0-10: 1. "0" = no pain 2. "10" = the most intense pain imaginable Patients verbally select a value that is most in line with the intensity of pain that they have experienced in the last 24 hours.
Time frame: 24 hours
Time for first rescue analgesia
Time for first rescue analgesia will be measured and recorded
Time frame: 24 hours
The number of rescue analgesics
the number of rescue analgesics within 24hrs after surgery will be recorded
Time frame: 24 hours
Time to ambulation
Time to ambulation WILL BE RECOREDED
Time frame: 24 hours
Complications
Complications like bradycardia or hypotension, itching, nausea and vomiting will be recorded.
Time frame: 24 hours
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.