TEA, ESB and Paravertebral Block During Single-lung Ventilation for Lung Resection
NCT ID: NCT05211791
Last Updated: 2023-05-09
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
90 participants
INTERVENTIONAL
2022-01-10
2023-10-20
Brief Summary
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Ultrasound-guided ESP block is a myofascial plane block that provides analgesia for thoracic or abdominal segmental innervation depending on the level of the injection site. Thoracic epidural analgesia (TEA) is considered the gold standard analgesic technique for thoracic surgeries. But the invasiveness of this technique, the rare but serious neurologic complications and the failure rates up to 30% are the disadvantages of epidural analgesia
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
TRIPLE
Study Groups
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Group TEA
insertion of Thoracic epidural anesthesia plus GA with lung isolation using suitable size double lumen tube at level T6
Thoracic epidural anesthesia
insertion of Thoracic epidural catheter for anesthesia analgesia at level of T6
Group ESB
U/S guided erector spinae block anesthesia using 15 ml local anesthesia plus GA with lung isolation using a suitable size double-lumen tube
erector spinae block
Ultrasound-guided insertion of different analgesic procedures as paravertebral block anesthesia and paravertebral block anesthesia
Group PVB
U/S guided paravertebral block anesthesia using 15 ml local anesthesia as total volume plus GA with lung isolation using suitable size double lumen tube
paravertebral block anesthesia
Ultrasound-guided insertion of different analgesic procedures as paravertebral block anesthesia and paravertebral block anesthesia
Interventions
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erector spinae block
Ultrasound-guided insertion of different analgesic procedures as paravertebral block anesthesia and paravertebral block anesthesia
paravertebral block anesthesia
Ultrasound-guided insertion of different analgesic procedures as paravertebral block anesthesia and paravertebral block anesthesia
Thoracic epidural anesthesia
insertion of Thoracic epidural catheter for anesthesia analgesia at level of T6
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Hepatic or renal dysfunction.
* contraindications for epidural anesthesia as Coagulopathy and neurological and spinal deficits.
* emergency cases
18 Years
70 Years
ALL
No
Sponsors
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South Egypt Cancer Institute
OTHER
Responsible Party
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Alaa Ali M. Elzohry
Lecturer of Anesthesia, ICU and Pain Relief, South Egypt Cancer Institute, Assiut University, Egypt
Principal Investigators
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Alaa A Elzohry
Role: PRINCIPAL_INVESTIGATOR
Lecturer of Anesthesia , ICU and pain management
Locations
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South Egypt Cancer Institute, Assiut University, Arab Republic of Egypt
Asyut, , Egypt
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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TEA in single lung ventilation
Identifier Type: -
Identifier Source: org_study_id
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