Bupivicain vs Bupivicain Plus Dexamethasone in ESP Block for Post-op Analgesia

Sheikh Zayed Medical College

Status and phase: Unknown; Phase 3

Conditions: Post Operative Pain

Treatments: Drug: inj bupivicain

Study type: Interventional

Funder types: Other

Identifiers

NCT05277974

ASIDDIQUE SZMC

Details and patient eligibility

About

Thoracotomy is a very painful procedure. Different treatment modalities are being utilized for post-thoracotomy analgesia including I/V NSAID, Opoids and Neuropathic medications. Other techniques commonly utilized include Thoracic epidural, Paravertebral block; but both are associated with significant failure rate and other complications. Ultrasound guided Erector Spinae Plane block is a new regional anesthesia technique that provides analgesia at multidermatomal levels acriss the posterior, lateral and anterior thoracic walls. The rational of my study is that it is a novel technique and studies with bupivicain alone are present but no study was found with bupivicain plus dexamethasone.

Enrollment: 30 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age 18-60years ASA I-III Patients undergoing elective thoracotomies

Exclusion criteria

• Refusal of Patient Coagulation disorders Known Allergy to Local Anesthetics Infection at the site of injection Pregnant females Morbid Obesity(BMI>40kg/m2) Psychiatric illness Diabetic Patients.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

Group B.

Active Comparator group

Description:

group B will receive Inj Bupivicain only in Erector Spinae Plane Block.

Treatment:

Drug: inj bupivicain

Group D

Active Comparator group

Description:

group D will receive Inj Bupivicain plus Dexamethasone in Erector Spinae Plane Block.

Treatment:

Drug: inj bupivicain