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.
Age from 18 to 65 years.
Male and female sexes.
ASA I-II.,III
Cancer patients undergoing thoracotomy incisions
Patient refusal
Known allergy to any of the used drugs
Low platelet count, any coagulation defect