ESPB Versus PVPB Regarding Their Effect on Peri-operative Opioid Consumption in Patients Undergoing Minimally Invasive Mitral Valve Replacement

Ain Shams University

Status: Completed

Conditions: ERAS; Post Operative Pain

Treatments: Procedure: Thoracic paravertebral plane block; Procedure: Thoracic erector spinae plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT05884164

FMASU MD89 / 2022

Details and patient eligibility

About

In recent years , the popularity of ultrasound-guided fascial plane blocks has increased in achieving an effective postoperative analgesia and hence achieving enhanced recovery after surgery (ERAS) .

Mastering the use of ultrasound encourages anesthetists on the frequent use of regional anesthesia . Fascial plane blocks are increasingly becoming a part of multimodal analgesia as an alternative pain management strategy in cardiac surgery. Various regional techniques especially paravertebral plane blocks have been recently described to reduce the postoperative pain in cardiac surgery with enhanced recovery . Ultrasound-guided erector spinae plane block is a recently introduced technique for regional analgesia in thoracic neuropathic pain, rib fractures, and breast surgeries. This study aims to compare between the two techniques regarding their peri-operative analgesic effect and their impact on enhanced recovery after surgery.

Full description

This study aims to compare between the effectiveness of Erector spinae plane block and thoracic paravertebral plane block in reducing the perioperative need of opioids in patients undergoing minimally invasive mitral valve replacement as part of ERAS.

Enrollment: 80 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with American Society of Anesthesiologists (ASA) score III.
• Patients aged ≥ 18 years old.
• Patients scheduled for minimally invasive mitral valve replacement through a right mini thoracotomy.

Exclusion criteria

• Patients refusing to be involved in this study.
• Patients with ASA score > III.
• Patients aged < 18 years.
• Patients with local infection at the site of needle puncture.
• Patients with known hypersensitivity to local anesthetic (LA).
• Patients with hepatic or renal impairment.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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80 participants in 2 patient groups

Erector spinae group

Active Comparator group

Description:

Patients will receive erector spinae plane block after general anaesthesia .

Treatment:

Procedure: Thoracic erector spinae plane block

Paravertebral block group

Active Comparator group

Description:

Patients will receive paravertebral plane block after general anaesthesia .

Treatment:

Procedure: Thoracic paravertebral plane block