Rhomboid Block,erectör Spiane Block, Thoracotomy

NCT04294394 | Completed DMC

• 1 other identifier: 2019/514/150/22
• Study Type: observational
• Target: 75
• Locations: 1 country
• Sites: 2

Brief Summary

Effective analgesia is very important in terms of preventing respiratory, thromboembolic complications and providing early mobilization after open thoracotomy. Although thoracic epidural analgesia is gold standart method for this aim, it causes common side effects such as hypotension, dural puncture,motor block In recent years, with the effective use of ultrasonography, different regional anesthesia methods have been developed to prevent such complications

Conditions

Anesthesia

Keywords

rhomboid block; erectör spinae block

Outcome Measures

Primary Outcomes (1)

• rhomboid block versus erector spinae block in thorachotomy

  In this study, we aimed to compare the effects of rhomboid block and erector spinae block in pain control after thoracotomy

  the study will comlete in three month

Study Arms (3)

rhomboid block

With a 6-13 Mhz linear USG probe, at the thoracal level of 6-7 vertebra in the sagittal position, in the cranio-caudal direction with a 22 G and 100 mm block needle in the medial of the scapula, after entering the facial plane between the rhomboid muscle and the intercostal muscle, 0.25% bupivacaine 20 ml of the local anesthetic solution will be given.

Other: rhomboid block

erector spinae group

After the patient is taken in the lateral position, the probe T5 is 3 cm lateral to the spinous process, 22 G and 100 mm block needle with 6-13 Mhz linear ultrasonography and the facial plane between the transverse proces and the erector spina muscle is entered, and 20 ml of a local anesthetic solution consisting of 0.25% bupivacaine will be given.

Other: erector spinae block

control group

For postoperative analgesia, all patients (including Rhomboid block and Erector spinae block) will be administered 100 mg tramadol and 1 gr paracetamol. No additional intervention other than this medical approach will be applied in the control group.

Other: control

Interventions

rhomboid block OTHER

Rhombid block, on the other hand, is a method which make up analgesia by providing lokal anestethetic enjection between intercostal muscles and rhomboid muscles and blocks between t3- t9 levels

rhomboid block

erector spinae block OTHER

The Erector spinae plan block is a recently developed regional block method .Adminestering of lokal anesthetic between the transver proces and erector spinae muscles provides the dorsal and ventral branch blokades of regional spinal nerve and make up the analgesia.İt have a wide range usage such as surgery of thoracal and abdominal area

erector spinae group

control OTHER

For postoperative analgesia, all patients (including Rhomboid block and Erector spinae block) will be administered 100 mg tramadol and 1 gr paracetamol. No additional intervention other than this medical approach will be applied in the control group.

control group

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

18 to 75 years old patients will including in this study. Patients Asa Scores shold be ASA1,2,3

You may qualify if:

• Patients between 18-75 years old
• ASA1,2,3 group patients
• Patients undergoing thoracotomy under general anesthesia

You may not qualify if:

• The patient's refusal to participate in the study
• Allergy to local anesthetics

Sponsors & Collaborators

• Kocaeli Derince Education and Research Hospital: lead

Study Sites (2)

Derince Eğitim Ve Araştırma Hastanesi

Kocaeli, Derince, 41000, Turkey (Türkiye)

Location

Tahsin Şimşek

Istanbul, 34000, Turkey (Türkiye)

Location

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: medical doctor

Study Record Dates

• First Submitted: March 1, 2020
• First Posted: March 4, 2020
• Study Start: February 1, 2020
• Primary Completion: January 5, 2021
• Study Completion: January 15, 2021
• Last Updated: February 3, 2021

Record last verified: 2021-01

Locations

TU (2)