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Post-thoracotomy pain syndrome (PTPS) is a prevalent complication that significantly impacts patients' quality of life, with reported incidence ranging from 25% to 90%. This study evaluated the effectiveness of continuous erector spinae plane (ESP) block compared to thoracic epidural analgesia (TEA), the current gold standard, in preventing PTPS. Our goal was to compare the incidence of PTPS between patients who received ESP block and those who underwent TEA. Additional goals included assessing postoperative pain levels, analgesic consumption, and complications related to the anesthesia techniques.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ESP block | Patients who recieved ESP block for thoracic surgery |
| |
| Thoracic epidural | Patients who recieved thoracic epidural for thoracic surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ESP block | Procedure | Performance of ESP block for pain relief after thoracic surgery |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of post thoracotomy pain syndrome | Incidence of post thoracotomy pain syndrome 3 months post operatively | 3 months post operatively |
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Inclusion Criteria:
1. Ages 18-65 years 2. Presenting for elective thoracic surgery under general anesthesia. 3. Undergoing either ESP or TEA prior to surgery.
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Exclusion Criteria:Patients were excluded if they met any of the following criteria:
1. Any CNS and/or psychiatric disease. 2. Patients who are unable to complete the pain survey for any reason. 3. Patients who had baseline chronic pain around the surgical incision.
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Eligible subjects are adult patients who presented for elective thoracic surgery under general anesthesia and underwent TEA or ESP.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Meir Medical Center | Recruiting | Kfar Saba | Israel |
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| Thoracic epidural |
| Procedure |
Performance of thoracic epidural for pain relief after thoracic surgery |
|
| ID | Term |
|---|---|
| D013662 | Tea |
| ID | Term |
|---|---|
| D028321 | Plant Preparations |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
| D001628 | Beverages |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |
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