60
Participants
Start Date
November 1, 2017
Primary Completion Date
June 1, 2018
Study Completion Date
June 1, 2018
Thoracic Spinal Anesthesia
"Spinal anesthesia will be performed for patients of the TSA group at the T7-T8 intervertebral space, using a 27 G pencil point needle with an introducer (Braun Melsungen, Melsungen, Germany).~When correct placement is confirmed by the free flow of clear CSF, 1.5 ml of hyperbaric Bupivacaine 0.5% (7.5 mg) in addition to 0.5 ml Fentanyl (25 μg) \& 5 μg dexmedetomidine will be injected."
Thoracic Epidural Anesthesia
"Epidural anesthesia will be performed for patients of the TEA group at the T7-T8 intervertebral space, using the Prefix Custom Epidural Anesthesia Tray with an 18 G Tuohy epidural needle \& a 20 G epidural catheter.~Patients will initially receive 5-10 ml of a mixed preparation of 0.5% isobaric Bupivacaine with 2 μg Fentanyl per ml volume as a bolus dose via the epidural catheter, this will be followed by a continuous infusion of 5-10 ml/hr started 1 hour after the bolus dose \& continued throughout the procedure."
Bupivacaine 0.5% (hyperbaric)
Neuro-axially injected
Bupivacaine 0.5% (isobaric)
Neuro-axially injected
Fentanyl
Neuro-axially injected
Dexmedetomidine
Neuro-axially injected
Kasr Al-Ainy Hospital, Cairo University, Cairo
Nazmy Edward Seif
OTHER