Hemi-diaphragmatic Paresis After Erector Spinae Plane Block

Hemi-diaphragmatic Paresis After Ultrasound-guided Erector Spinae Plane Block in Carotid Endarterectomy

Sponsors

Lead Sponsor: Antalya Training and Research Hospital

Source Antalya Training and Research Hospital
Brief Summary

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

Detailed Description

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.

Overall Status Recruiting
Start Date January 20, 2021
Completion Date April 30, 2021
Primary Completion Date April 30, 2021
Study Type Observational [Patient Registry]
Primary Outcome
Measure Time Frame
incidence of hemi-diaphragmatic paresis 30 minutes
Secondary Outcome
Measure Time Frame
opioid consumption 1 hour
postoperative analgesia consumption 24 hours
intraoperative local anesthetic consumption 1 hour
Postoperative Numeric Rating Scale (NRS) score 24 hours
Enrollment 20
Condition
Intervention

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

Eligibility

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

Overall Official
Overall Contact

Last Name: Arzu Karaveli

Phone: +905325611300

Email: [email protected]

Location
Facility: Status: Contact: Antalya Training and Research Hospital, Department of Anesthesiology and Reanimation Antalya Training and Research Hospita +902422494400
Location Countries

Turkey

Verification Date

January 2021

Responsible Party

Type: Sponsor

Keywords
Has Expanded Access No
Condition Browse
Arm Group

Label: ESP block group

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

Patient Data No
Study Design Info

Observational Model: Case-Only

Time Perspective: Prospective

Source: ClinicalTrials.gov