Status:
RECRUITING
Thoracic Epidural Anesthesia Versus Paravertebral Block for Awake Thoracotomy
Lead Sponsor:
Cairo University
Conditions:
Thoracic Epidural Anesthesia
Paravertebral Block
Eligibility:
All Genders
18-60 years
Phase:
NA
Brief Summary
This study aims to compare paravertebral block and thoracic epidural in awake thoracotomy.
Detailed Description
Pain can often persist after thoracotomy, and the incidence of chronic pain is high, with studies revealing that 30% to 50% of patients still experience pain up to five years after surgery. Thoracic ...
Eligibility Criteria
Inclusion
- Age from 18 to 60 years.
- Both genders.
- American Society of Anesthesiologists (ASA) physical status classification II or III.
- Scheduled for thoracotomy.
Exclusion
- Poor cardiac function (ejection fraction less than 50%).
- Patients with bad pulmonary function testing (PFTs). Absolute contraindication to thoracic epidural anesthesia includes patient refusal, allergy to local anesthetics, coagulopathy, active neurologic disorders, skin infection at the insertion site, uncooperative patients, uncontrolled cough, and unfavorable anatomy for thoracic epidural.
- Thoracic spine disorders require chest wall resection or emergency thoracic surgery.
- Had a previous thoracotomy (scarring due to prior surgery can limit the effectiveness of paravertebral block, and these patients may have existing chronic pain).
Key Trial Info
Start Date :
May 15 2025
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
October 1 2025
Estimated Enrollment :
60 Patients enrolled
Trial Details
Trial ID
NCT06974643
Start Date
May 15 2025
End Date
October 1 2025
Last Update
May 16 2025
Active Locations (1)
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1
Cairo University
Cairo, Egypt, 12613