Efficacy of Dexmedetomidine VS Magnesium Sulphate With Bupivacaine in Erector Spinae Block for Thoracotomy Pain

Analgesic Efficacy of Adding Dexmedetomidine VS Magnesium Sulphate as Adjuvants With Bupivacaine in Ultrasound-guided Erector Spinae Plane Block for Post Thoracotomy Pain

Postoperative pain management is considered an integral part of perioperative care in patients undergoing thoracotomy. In order to reduce these complications, multiple regional techniques have been developed for thoracotomy including Intercostal nerve block, Erectospinae plane block and serratus block. Multiple adjuvants have been used in regional analgesia including adrenaline,clonidine,magnesium sulphate,dexmedatomidine and opoids.

Inclusion Criteria:

• Age from 18 to 65 years.
• Male and female sexes.
• ASA I-II.,III
• Cancer patients undergoing thoracotomy incisions
• Body mass index (BMI) from 18.5 to 30 kg/m2

Exclusion Criteria:

• Patient refusal
• Known allergy to any of the used drugs
• Low platelet count, any coagulation defect