Comparison of Erector Spina Plane Block and Thoracic Epidural Block

Inonu University

Status

Completed

Conditions

Pain, Postoperative

Breast Neoplasms

Treatments

Other: Thoracic epidural block before general anaesthesia

Other: Erector spina plane block before general anaesthesia

Study type

Interventional

Funder types

Other

Identifiers

NCT04702061

Esogu Anesthesia

Details and patient eligibility

About

The aim of this randomised controlled and double-blind study, is to compare the effects of erector spinae plane (ESP) and thoracic epidural (TEA) blocks on peri-operative hemodynamics and analgesia in patients undergoing unilateral mastectomies due to malignancy.

Full description

Patients will be randomised into two groups as Group E (those who received general anesthesia after the erector spina plan block) and Group T (those who received general anesthesia after thoracic epidural block).

After the block skin conductivity (galvanic skin response - GSR), body temperature changes, sympathetic and sensory block levels, peri-operative hemodynamic data, postoperative pain scores and analgesic consumption will be recorded.

Enrollment

20 patients

Sex

Female

Ages

18 to 70 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

ASA(American Society of Anesthesiologist) physical classification I-III
Patients undergoing unilateral mastectomies due to malignancy

Exclusion criteria

Active infection at the intervention site
History of coagulopathy or anticoagulant use (less time has passed before peripheral and central blocks)
Major cardiac, pulmonary, renal and neurological diseases
Autonomic neuropathy or use of drugs that affect autonomic function
Patients with type 1 diabetes or insulin dependent type 2 diabetes over 10 years
Allergic to local anesthetics;
Patients who are uncooperative or have psychiatric problems
Morbidly obese (body mass index > 35 kg/m2)