External Oblique Intercostal Plane Block Versus Thoracic Paravertebral Block for Post Thoracotomy Pain

Tanta University

Status: Completed

Conditions: External Oblique Intercostal Plane Block; Thoracic Paravertebral Block; Post Thoracotomy Pain

Treatments: Other: Thoracic paravertebral block; Other: External oblique intercostal plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT06431880

36246PR638/4/24

Details and patient eligibility

About

The aim of this study is to compare the effectiveness of analgesia achieved by external oblique intercostal plane block (EOIPB)and thoracic paravertebral block (TPVB) for postoperative pain management in patients undergoing open thoracotomy.

Full description

Acute thoracotomy pain is multifactorial in nature. It involves nociceptive and neuropathic mechanisms originating from somatic and visceral afferents. The main sources of pain are intercostal nerves, the vagus nerve and phrenic nerve in the pleura, the superficial cervical plexus, and the brachial plexus in the ipsilateral shoulder.

Enrollment: 90 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age ≥ 18 years.
• Both sexes.
• American Society of Anesthesiology (ASA) physical status I-III.
• Scheduled for open thoracotomy

Exclusion criteria

• Patients with neurological or intellectual disability.
• Infection at the injection site.
• Opioid addiction.
• Allergic reaction to local anesthetics.
• Coagulation abnormalities.
• Drug abuse.
• Pregnancy.
• Severe liver and/or renal failure.
• Uncontrolled hypertension.
• Severe cardiovascular problems.
• Diabetes mellitus.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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90 participants in 2 patient groups

External oblique intercostal plane block

Experimental group

Description:

Patients will receive external oblique intercostal plane block.

Treatment:

Other: External oblique intercostal plane block

Thoracic paravertebral block

Experimental group

Description:

Patients will receive thoracic paravertebral block.

Treatment:

Other: Thoracic paravertebral block