Transversus Thoracic Muscle Plane Block, Erector Spinae Plane Block and Paravertebral Block for Analgesia in Video-Assisted Thoracic Surgery
NCT ID: NCT06987136
Last Updated: 2025-11-25
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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COMPLETED
NA
60 participants
INTERVENTIONAL
2025-05-24
2025-11-08
Brief Summary
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Detailed Description
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Thoracic paravertebral block (TPVB) is a regional anesthetic technique in which local anesthetic (LA) is administered inside the thoracic paravertebral space (TPVS), which contains the intercostal spinal nerves, spinal dorsal rami, rami communicants, sympathetic chain, intercostal vessels, and fatty tissue.
The erector spinae plane block (ESPB) is an interfascial regional anesthesia block for thoracic analgesia which can be performed by superficial or deep needle approach.
Transversus thoracic muscle plane block (TTPB) is a newly developed technique in which LA is injected into the fascial plane between the transversus thoracic muscle and the internal intercostal muscles for blocking the anterior cutaneous branches of intercostal nerves from thoracic (Th) 2 to Th 6.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Transversus thoracic muscle plane block group
Patients will receive a transversus thoracic muscle plane block.
Transversus thoracic muscle plane block
Patients will receive a transversus thoracic muscle plane block.
Erector spinae plane block group
Patients will receive an erector spinae plane block.
Erector spinae plane block
Patients will receive an erector spinae plane block.
Thoracic paravertebral block group
Patients will receive a thoracic paravertebral block.
Thoracic paravertebral block
Patients will receive a thoracic paravertebral block.
Interventions
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Transversus thoracic muscle plane block
Patients will receive a transversus thoracic muscle plane block.
Erector spinae plane block
Patients will receive an erector spinae plane block.
Thoracic paravertebral block
Patients will receive a thoracic paravertebral block.
Eligibility Criteria
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Inclusion Criteria
* Both sexes.
* American Society of Anesthesiology (ASA) physical status I-II.
* Scheduled for video-assisted thoracic surgery under general anesthesia.
Exclusion Criteria
* Coagulopathy.
* History of opiate abuse.
* Pre-existing chronic pain.
* Allergy to local anesthetics or analgesics.
* Infection at the site of injection.
* Mental or neurological disorders.
* Operation converted to open thoracotomy.
* Renal dysfunction (glomerular filtration rate (GFR) \< 50 ml/min).
* Pregnancy
18 Years
ALL
No
Sponsors
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Tanta University
OTHER
Responsible Party
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Mahmoud Abdalsattar Elmohasseb
Lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt
Locations
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Tanta University
Tanta, El-Gharbia, Egypt
Countries
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Other Identifiers
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36264PR1184/4/25.
Identifier Type: -
Identifier Source: org_study_id
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