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Ultrasound-Guided Mid-Point Transverse Process to Pleura Block for Thoracotomy Incisions

Postoperative Pain Clinical Trial

Official title:
Analgesic Efficacy of Pre-emptive Ultrasound-Guided Mid-Point Transverse Process to Pleura Block for Patients Undergoing Posterolateral Thoracotomy Incisions: Randomized Controlled Trial

Clinical Trial Summary

This study is designed to investigate the analgesic efficacy of pre-emptive ultrasound-guided midpoint transverse process to pleura (MTP) block for posterolateral thoracotomy in cardiothoracic surgeries.

Clinical Trial Description

Preemptive preoperative analgesia was first proposed, over the years it has been gradually regarded as an intervention given before incision, facilitating mobilization and functional rehabilitation after surgery, reducing postoperative opioid consumption, decreasing the incidence of adverse events and improving patient satisfaction. The Mid Transverse Process to Pleura block, described by Costach et al. involves deposition of drug midway between the transverse process and pleura. Costach et al. postulated that the local anesthetic deposited at this point may reach the paravertebral space through several possible mechanisms, such as spread medially through the gap between the superior costotransverse ligament (SCTL) and vertebral bodies, through fenestrations in SCTL, and laterally through the internal intercostal membrane ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT05044858
Study type Interventional
Source Tanta University
Contact Heba A. Mohamed, M.B.B.CH
Phone +20 111 505 4431
Email Heba154537_pg@med.tanta.edu.eg
Status Recruiting
Phase N/A
Start date September 24, 2021
Completion date September 20, 2022
View Details
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