Status:

RECRUITING

Awake Thoracic Epidural Anesthesia Versus General Anesthesia in Thoracotomy

Lead Sponsor:

Cairo University

Conditions:

Awake

Thoracic Epidural Anesthesia

Eligibility:

All Genders

18-75 years

Phase:

NA

Brief Summary

This study aims to compare awake thoracic epidural anesthesia and general anesthesia in thoracotomy.

Detailed Description

The severity of acute postoperative pain is a causative factor for chronic postsurgical pain, and it has been observed that the incidence of chronic postsurgical pain is very high after thoracotomy. E...

Eligibility Criteria

Inclusion

  • Age from 18 to 75 years old.
  • Both genders.
  • American Society of Anesthesiologists (ASA) physical status classification II or III.
  • Scheduled for thoracotomy.

Exclusion

  • Difficult airway management,
  • 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.

Key Trial Info

Start Date :

April 16 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 1 2025

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT06930183

Start Date

April 16 2025

End Date

October 1 2025

Last Update

April 17 2025

Active Locations (1)

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1

Cairo University

Cairo, Egypt, 12613