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| Name | Class |
|---|---|
| Assiut University | OTHER |
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Ultrasound-guided combined thoracic segmental spinal epidural anesthesia in comparison with general anesthesia in upper abdominal and breast surgery.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ultrasound-guided thoracic segmental spinal group | Active Comparator | given ultrasound-guided thoracic segmental spinal heavy Marcaine plus 25 ug fentanyl at the level of T10 interlaminar space. |
|
| General anesthesia group | No Intervention | General anesthesia (control) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| combined thoracic segmental spinal epidural anesthesia | Procedure | ultrasound guided thoracic segmental spinal anesthesia at the level of T10 interlaminar space , patients will be in sitting position, 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. |
| Measure | Description | Time Frame |
|---|---|---|
| MAP | mean arterial pressure | Change from Baseline Systolic Blood Pressure at one day post operative |
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Inclusion Criteria:
Exclusion Criteria:
Contraindication of regional ASA More than III Age less than18 or more than 60 Psychological troubles
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| South Egypt Cancer Institute, Assiut University, Arab Republic of Egypt | Asyut | 0020 | Egypt |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |