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US-guided Thoracic Spinal Epidural Anesthesia VS GA for Abdominal and Breast Surgeries

Pain, Postoperative Clinical Trial

Official title:
US-guided Combined Segmental Thoracic Spinal Epidural Anesthesia in Comparison With General Anesthesia for Upper Abdominal and Breast Surgeries - A Randomized Control Study

Clinical Trial Summary

Ultrasound-guided combined thoracic segmental spinal epidural anesthesia in comparison with general anesthesia in upper abdominal and breast surgery.

Clinical Trial Description

The first group (S) will be given ultrasound-guided thoracic segmental spinal anesthesia at the level of T10 interlaminar space, patients will be in sitting position, a combined spinal epidural tray will be used. In this group, SonoSite C60x/5-2 MHz M-Turbo Convex Probe ultrasound Transducer to identify the T10 interlaminar space and after complete sterilization, the investigator will introduce the epidural needle in a Paramedian in plan approach till the epidural space. The spinal needle is then introduced through the epidural needle not more than 0.5 cm beyond the Dura matter. 2cc of heavy Marcaine plus 25 ug fentanyl are injected through the spinal needle. The epidural catheter is then threaded through the Touhy needle after withdrawal of the spinal needle to keep only 4cm up in the epidural space. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT05587608
Study type Interventional
Source South Egypt Cancer Institute
Contact
Status Completed
Phase N/A
Start date March 1, 2022
Completion date October 14, 2022
View Details
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