The Effect of USG- Guided Modified Pectoral Nerve Block and Erector Spinae Plane Block on Postoperative Analgesia in Video Assisted Thoracoscopic Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 55
- 试验地点
- 2
- 主要终点
- Postoperative 24-hours total morphine consumption
研究概览
简要总结
This study aims to compare the effects of the erector spinae plan block (ESP) and modified pectoral nerve block (PECS II) on postoperative analgesia in patients undergoing video- assisted thoracoscopic surgery (VATS).
详细描述
55 patients (ASA I-II-III) between 18 and 65 years of age, who were to undergo VATS, were randomized and divided into two groups. (26 patients in each of the PECS and ESP groups). Three patients were excluded from the study because thoracotomy was performed. ESP block was performed for ESP group and a modified pectoral nerve block was performed in the PECS group. Postoperative analgesia was provided by intravenous morphine infusion using a patient-controlled analgesia device. Postoperative 24-hour total morphine consumption and duration of analgesia were the primary outcome measure. Perioperative remifentanil use, numeric rating scale values, time of the first analgesic request, and additional analgesic consumption were recorded.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Ages of 18-65
- •Patients who will undergo VATS
- •ASA I-II-III patients
排除标准
- •Clinically diagnosis of spinal or chest wall deformity or pathology
- •Clinically known local anesthetic allergy
- •Morbid obesity (body mass index>40 kg m2)
- •Clinically diagnosis of opioid, alcohol and substance dependence
- •Clinically diagnosis of psychiatric disease
- •Coagulopathy
- •Patients with ASA IV-V
结局指标
主要结局
Postoperative 24-hours total morphine consumption
时间窗: 24 hours postoperatively
This will be measured only one time by pca device at the 24th hour after surgery.
次要结局
- NRS scores of patients(24 hours postoperatively)
研究者
Gökhan Sertçakacılar
MD
Bakirkoy Dr. Sadi Konuk Research and Training Hospital