COMPARISON OF ERECTOR SPINA PLAN BLOCK AND THORACIC PARAVERTEBRAL BLOCK FOR PERIOPERATIVE ANALGESIA (A Two-Center)

Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital

Status: Not yet enrolling

Conditions: Paravertebral Block

Treatments: Procedure: Thoracic Paravertebral Block administring; Procedure: Erector Spinae Plane (ESP) block admistring

Study type: Interventional

Funder types: Other

Identifiers

NCT07021651

CEM

Details and patient eligibility

About

The primary aim of this study was to compare the postoperative analgesic efficacy of thoracic paravertebral block with erector spinae plane block, which we use in thoracotomy surgeries. Secondary aims were to compare these groups in terms of Riker Agitation-Sedation Scale (RASS) scores, postoperative complications, postoperative opioid consumption, and patient satisfaction.

Enrollment: 60 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients who will undergo thoracotomy and are between the ages of 18-65
• have American Society of Anesthesiologists (ASA) risk classification I-II will be included in the study.

Exclusion criteria

• Patients who did not agree to participate in the study,
• had an infection in the application area,
• had coagulopathy,
• were morbidly obese (Body mass index (BMI)>35),
• had drug allergy,
• had chronic pain, long-term opioid use, psychiatric illness history, and required emergency surgery were excluded from the study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

Erektor spina plan block

Active Comparator group

Description:

The local anesthetic is injected into the fascial plane between the erector spinae muscle and the transverse processes of the vertebrae. This allows the anesthetic to spread cranially and caudally, affecting multiple spinal nerves

Treatment:

Procedure: Erector Spinae Plane (ESP) block admistring

Toracik paravertebral block

Active Comparator group

Description:

The local anesthetic is injected into the paravertebral space, which is bordered by the vertebral bodies, intervertebral discs, parietal pleura, and superior costotransverse ligament. This space contains the spinal nerves, sympathetic chain, and intercostal vessels

Treatment:

Procedure: Thoracic Paravertebral Block administring