Hemi-diaphragmatic Paresis After Erector Spinae Plane Block

Lead Sponsor: Antalya Training and Research Hospital

To assess the incidence of hemi-diaphragmatic paresis following ultrasound-guided erector spinae plane (ESP) block

The ultrasound (USG) guided ESP block was first defined in 2016. With the administration of local anesthesia between the transverse process of the vertebra and the erector spinae muscle, it is stated that the effect mechanism of ESP is that spread blocks the ventral and dorsal rami to the paravertebral area. The aim of the study is to assess the incidence of hemi-diaphragmatic paresis following ultrasound-guided erector spinae plane block.

• Regional Anesthesia
• Carotid Endarterectomy

Intervention Type: Other

Intervention Name: ESP block

Description: ESP block performed using ultrasound guidance. Diaphragmatic excursion was measured using M-mode ultrasound during normal breathing, deep breathing and with the sniff manoeuvre.

Arm Group Label: ESP block group

Sampling Method: Probability Sample

Criteria:

Inclusion Criteria: - 18 - 85 years - American Society of Anesthesiology (ASA) I-III - elective carotid endarterectomy Exclusion Criteria: - patient's refusal - under 18 years of age or over 65 years of age - ASA IV and above - known allergy to local anaesthetic drugs - the block cannot be applied due to bleeding disorders or localized skin infection at the injection site - history of neurological and/or neuromucular disease - history of severe bronchopulmonary disease - a moderate to severe decrease in preoperative pulmonary function, or abnormality in preoperative chest radiography data (pleural effusion, pneumothorax, or hemidiaphragm elevation) - emergency surgery

Gender: All

Minimum Age: 18 Years

Maximum Age: 85 Years

Healthy Volunteers: No

Last Name: Arzu Karaveli

Phone: +905325611300

Email: [email protected]

Turkey

January 2021

Type: Sponsor

• Regional anesthesia
• Erector spinae plane block
• Carotid endarterectomy
• Ultrasound guidance

• Paresis

Label: ESP block group

Description: Diaphragmatic excursion was measured using M-mode ultrasound during normal breathing, deep breathing and with the sniff manoeuvre.

Observational Model: Case-Only

Time Perspective: Prospective