Awake Thoracic Epidural Anesthesia Versus General Anesthesia in Thoracotomy
NCT ID: NCT06930183
Last Updated: 2025-04-17
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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RECRUITING
NA
50 participants
INTERVENTIONAL
2025-04-16
2025-10-01
Brief Summary
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Detailed Description
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Thoracic epidural analgesia (TEA) is used as an adjunct to general anesthesia (GA) in thoracic surgery. However, tthe horacic epidural blockade has been rarely utilized as a sole method to provide anesthesia for major thoracic procedures
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Awake thoracic epidural anesthesia group
Patients will preoperatively receive awake thoracic epidural anesthesia.
Awake thoracic epidural anesthesia
Patients will preoperatively receive awake thoracic epidural anesthesia.
General anesthesia group
Patients will receive general anesthesia.
General anesthesia
Patients will receive general anesthesia.
Interventions
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Awake thoracic epidural anesthesia
Patients will preoperatively receive awake thoracic epidural anesthesia.
General anesthesia
Patients will receive general anesthesia.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Both genders.
* American Society of Anesthesiologists (ASA) physical status classification II or III.
* Scheduled for thoracotomy.
Exclusion Criteria
* Hemodynamically unstable patients, obesity (body mass index \>30).
* Absolute contraindication to thoracic epidural anesthesia such as (patient refusal, allergy to local anesthetics, coagulopathy, active neurologic disorders, skin infection at insertion site, uncooperative patients, uncontrolled cough, and unfavorable anatomy for thoracic epidural).
* Neurological disorders: risk of seizure, unable to cooperate, intracranial mass or brain edema, extensive pleural adhesions or previous pulmonary resections, hypoxemia (PaO2 \<60) or hypercarbia (PaCO2 \>50)
* Poor cardiac function (ejection fraction less than 50%).
* Patients with bad pulmonary function tests.
18 Years
75 Years
ALL
No
Sponsors
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Cairo University
OTHER
Responsible Party
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Mohamed Elsaid Abdel Fattah
Lecturer of Anesthesia, Surgical ICU and Pain Management, Faculty of Medicine, National Cancer Institute, Cairo University, Egypt.
Locations
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Cairo University
Cairo, , Egypt
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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AP2411-501-086-193
Identifier Type: -
Identifier Source: org_study_id
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