RecruitingNot ApplicableNCT06930183
Awake Thoracic Epidural Anesthesia Versus General Anesthesia in Thoracotomy
Awake Thoracic Epidural Anesthesia Versus General Anesthesia in Thoracotomy: A Randomized Controlled Trial
Sponsor
Cairo University
Enrollment
50 participants
Start Date
Apr 16, 2025
Study Type
INTERVENTIONAL
Conditions
Summary
This study aims to compare awake thoracic epidural anesthesia and general anesthesia in thoracotomy.
Eligibility
Min Age: 18 YearsMax Age: 75 Years
Inclusion Criteria4
- Age from 18 to 75 years old.
- Both genders.
- American Society of Anesthesiologists (ASA) physical status classification II or III.
- Scheduled for thoracotomy.
Exclusion Criteria6
- 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.
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Interventions
DRUGAwake thoracic epidural anesthesia
Patients will preoperatively receive awake thoracic epidural anesthesia.
DRUGGeneral anesthesia
Patients will receive general anesthesia.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06930183
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