Transverse Thoracic Plane Block, Midpoint Transverse Process Plane to Pleura Block and Erector Spinae Plane Block for Analgesia in Patients Undergoing Thoracoscopic Sympathectomy

Launched by TANTA UNIVERSITY · May 15, 2025

Keywords

ClinConnect Summary

This clinical trial is studying three different types of nerve blocks—transversus thoracic muscle plane block (TTPB), midtransverse to pleura block (MTPB), and erector spinae plane block (ESPB)—to see which one is best for pain relief after a specific type of surgery called thoracoscopic sympathectomy. This surgery is done to treat certain conditions by cutting nerves in the chest area. The goal of the trial is to find out which method provides the most effective pain management for patients recovering from this surgery.

To participate in the trial, you need to be between 18 and 65 years old and scheduled for thoracoscopic sympathectomy. You should be in good overall health (classified as ASA physical status I-II), which means you have no serious health issues that could complicate surgery. However, if you have certain conditions like bleeding disorders, a history of opioid abuse, or allergies to anesthetics, you won't be eligible to join. If you do participate, you can expect to receive one of the three types of nerve blocks during your surgery to help manage pain afterward. The trial is currently not recruiting participants, so it’s important to keep an eye on updates if you are interested in joining.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age from 18 to 65 years.
• • Both sexes.
• • American Society of Anesthesiology (ASA) physical status I-II.
• • Scheduled for thoracoscopic sympathectomy
• Exclusion Criteria:
• • Coagulopathy.
• • History of opiate abuse.
• • Pre-existing chronic pain.
• • Allergy to local anesthetics or analgesics.
• • Infection at the site of injection.
• • Mental or neurological disorders.
• • Pregnancy