COMPARISON OF ERECTOR SPINA PLAN BLOCK AND THORACIC PARAVERTEBRAL BLOCK FOR PERIOPERATIVE ANALGESIA

NCT07021651 | Not Yet Recruiting

• 1 other identifier: CEM
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The primary aim of this study was to compare the postoperative analgesic efficacy of thoracic paravertebral block with erector spinae plane block, which we use in thoracotomy surgeries. Secondary aims were to compare these groups in terms of Riker Agitation-Sedation Scale (RASS) scores, postoperative complications, postoperative opioid consumption, and patient satisfaction.

Conditions

Paravertebral Block

Outcome Measures

Primary Outcomes (1)

• Numeric Rating Scale

  They will be numbered from 1 to 10. If reporting a score on a scale, please include the unabbreviated scale title, the minimum and maximum values, and whether higher scores mean a better or worse outcome.

  Post-operative 30 minutes, 2 hours, 6 hours, 12 hours, 24 hours

Secondary Outcomes (3)

• Riker Agitation and Sedation Scale

  Immediately after extubation

• Patient satisfaction score:

  Post-operative 30 minutes

• 24-hour Tramadol usage:

  posoperative 24 hours

Study Arms (2)

Erektor spina plan block

ACTIVE COMPARATOR

The local anesthetic is injected into the fascial plane between the erector spinae muscle and the transverse processes of the vertebrae. This allows the anesthetic to spread cranially and caudally, affecting multiple spinal nerves

Procedure: Erector Spinae Plane (ESP) block admistring

Toracik paravertebral block

ACTIVE COMPARATOR

The local anesthetic is injected into the paravertebral space, which is bordered by the vertebral bodies, intervertebral discs, parietal pleura, and superior costotransverse ligament. This space contains the spinal nerves, sympathetic chain, and intercostal vessels

Procedure: Thoracic Paravertebral Block administring

Interventions

Erector Spinae Plane (ESP) block admistring PROCEDURE

In the ESPB group, the probe was placed longitudinally at the level of the T5 transverse process, 2-3 cm lateral from the midline. The muscles were visualized superior to the transverse process ; then, the needle was inserted in the craniocaudal direction using the in-plane technique. A dose of 2 mL normal saline were injected into the two layers of the interfacial area under the erector spinae muscle, and the proper injection site was confirmed. After visualizing the linear spread of saline in the fascial plane, 20 mL of 0.25% bupivacaine was injected there for the block.

Erektor spina plan block

Thoracic Paravertebral Block administring PROCEDURE

In the TPVB group, the probe was placed 2-3 cm laterally and vertically of the T5 spinous process. Once the transverse process, corresponding paravertebral space, internal intercostal membrane, and pleura was identified , the needle was inserted in the lateromedial direction using the in-plane technique. After confirmation of pleural displacement with 2 mL saline, 20 mL of 0.25% bupivacaine was administered for the block.

Toracik paravertebral block

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients who will undergo thoracotomy and are between the ages of 18-65
• have American Society of Anesthesiologists (ASA) risk classification I-II will be included in the study.

You may not qualify if:

• Patients who did not agree to participate in the study,
• had an infection in the application area,
• had coagulopathy,
• were morbidly obese (Body mass index (BMI)\>35),
• had drug allergy,
• had chronic pain, long-term opioid use, psychiatric illness history, and required emergency surgery were excluded from the study.

Sponsors & Collaborators

• Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital: lead

Study Sites (1)

Health Sciences University Gazi Yaşargil Training and Research Hospital

Kayapınar, Di̇yarbakir, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Parapsychology

Intervention Hierarchy (Ancestors)

Behavioral Sciences; Behavioral Disciplines and Activities

Central Study Contacts

Hülya Tosun Söner, doktor

CONTACT

+905352792102; hulyatosunsoner@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Anesthesiology and Reanimation Spesialist

Study Record Dates

• First Submitted: June 4, 2025
• First Posted: June 15, 2025
• Study Start: July 10, 2025
• Primary Completion: July 20, 2025
• Study Completion: August 1, 2025
• Last Updated: June 15, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)