Comparing two anesthesia techniques for awake thoracotomy

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to compare the effectiveness of thoracic epidural anesthesia and paravertebral block in managing pain during awake thoracotomy procedures. It addresses the high incidence of chronic pain following thoracotomy by evaluating two different anesthesia techniques that target nerve signals responsible for pain. The study will involve patients aged 18 to 60 who are scheduled for thoracotomy and meet specific health criteria. By assessing pain management outcomes, the study seeks to determine which technique provides better relief for patients undergoing this surgery.

Why it matters

Who can join: the full rules

Inclusion Criteria:

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

Exclusion Criteria:

* 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).

Where it's running

• Cairo University
  Cairo, Egypt Recruiting

Study contacts

• Study coordinator: Mohamed E Abdel Fattah, MD
• Email: mohamed-elsaid@cu.edu.eg
• Phone: 00201284475792

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.