US-guided Thoracic Spinal Epidural Anesthesia VS GA for Abdominal and Breast Surgeries

South Egypt Cancer Institute

Status: Completed

Conditions: Pain, Postoperative

Treatments: Procedure: combined thoracic segmental spinal epidural anesthesia

Study type: Interventional

Funder types: Other

Identifiers

NCT05587608

segmental thoracic TEA-spinal

Details and patient eligibility

About

Ultrasound-guided combined thoracic segmental spinal epidural anesthesia in comparison with general anesthesia in upper abdominal and breast surgery.

Full description

The first group (S) will be given ultrasound-guided thoracic segmental spinal anesthesia at the level of T10 interlaminar space, patients will be in sitting position, a combined spinal epidural tray will be used. In this group, SonoSite C60x/5-2 MHz M-Turbo Convex Probe ultrasound Transducer to identify the T10 interlaminar space and after complete sterilization, the investigator will introduce the epidural needle in a Paramedian in plan approach till the epidural space. The spinal needle is then introduced through the epidural needle not more than 0.5 cm beyond the Dura matter. 2cc of heavy Marcaine plus 25 ug fentanyl are injected through the spinal needle. The epidural catheter is then threaded through the Touhy needle after withdrawal of the spinal needle to keep only 4cm up in the epidural space.

Enrollment: 63 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All upper abdominal and laparoscopic surgeries
• ASA I-III CLASS
• Age between 18 and 60

Exclusion criteria

Contraindication of regional ASA More than III Age less than18 or more than 60 Psychological troubles

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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63 participants in 2 patient groups

ultrasound-guided thoracic segmental spinal group

Active Comparator group

Description:

given ultrasound-guided thoracic segmental spinal heavy Marcaine plus 25 ug fentanyl at the level of T10 interlaminar space.

Treatment:

Procedure: combined thoracic segmental spinal epidural anesthesia

General anesthesia group

No Intervention group

Description:

General anesthesia (control)