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

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

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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