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RecruitingNot ApplicableNCT06974643

Thoracic Epidural Anesthesia Versus Paravertebral Block for Awake Thoracotomy

Thoracic Epidural Anesthesia Versus Paravertebral Block for Awake Thoracotomy: A Randomized Non-inferiority Trial

Sponsor

Cairo University

Enrollment

60 participants

Start Date

May 15, 2025

Study Type

INTERVENTIONAL

Conditions

Paravertebral BlockThoracic Epidural AnesthesiaAwake Thoracotomy

Summary

This study aims to compare paravertebral block and thoracic epidural in awake thoracotomy.

Eligibility

Min Age: 18 YearsMax Age: 60 Years

Inclusion Criteria4

  • Age from 18 to 60 years.
  • Both genders.
  • American Society of Anesthesiologists (ASA) physical status classification II or III.
  • Scheduled for thoracotomy.

Exclusion Criteria4

  • 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).
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Interventions

OTHERThoracic epidural block

Patients will preoperatively receive an awake thoracic epidural block.

OTHERParavertebral block

Patients will preoperatively receive a paravertebral block.

Locations(1)

Cairo University

Cairo, Egypt

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NCT06974643

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