Thoracic Epidural Analgesia and Bilateral Erector Spinae Plane Block on Postoperative Pain in Open Heart Surgeries

K

Karadeniz Technical University

Status

Completed

Conditions

Respiratory Complication
Pain, Postoperative

Treatments

Procedure: Erector spinae plane block
Procedure: Thoracic epidural analgesia

Study type

Interventional

Funder types

Other

Identifiers

NCT06098859
2023/184

Details and patient eligibility

About

Postoperative pain negatively effects respiratory functions in open heart surgeries. The aim of the study is to compare the effects of thoracic epidural analgesia (TEA) and erector spinae plane block (ESPB) on postoperative pain and respiratory functions in patients undergoing open heart surgery with sternotomy

Full description

Thoracic epidural catheter was inserted to patients in Group T at the T4-T5 vertebra level before induction of general anesthesia. And then local anesthetic infusion was started until postoperative 48. hours. Bilateral erector spinae plan block was applied with total 40 ml of local anesthetic solution to patients in Group E at the T4-T5 vertebra level before induction of general anesthesia. The control group was infused with 1 mcg/kg/min fentanyl during the surgery. In the postoperative period, 1 g paracetamol was infused 4 times a day. All patients underwent general anesthesia with the same method and medications. Tramadol/diclofenac was administered to patients with a pain score (NRS) above 4. NRS and tidal volumes (TV) of the patients were measured at 0, 2, 6, 12, 24, 36 and 48. hours after extubation. Postoperative mechanical ventilation durations, intensive care unit and hospital stays, additional analgesic needs and respiratory complications of the patients were recorded.

Enrollment

93 patients

Sex

All

Ages

20 to 75 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Has ASA II-IV score
  • Having open heart surgery

Exclusion criteria

  • Having a psychiatric illness
  • Using analgesic medication due to chronic pain
  • Uncooperative

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

93 participants in 3 patient groups

Thoracic epidural analgesia
Active Comparator group
Description:
Thoracic epidural analgesia have been started preoperatively and coninuoed until postoperative 48 hours
Treatment:
Procedure: Thoracic epidural analgesia
Erector spinae plane block
Active Comparator group
Description:
Erector spinae plane blockwas applied preoperatively
Treatment:
Procedure: Erector spinae plane block
Intravenous opioid analgesia
No Intervention group
Description:
Intravenous opioid analgesia was administered during the surgery

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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