Interest of Serratus Plane Block in Postoperative Analgesia for Patients Undergoing Robot-assisted Mitral Valve Repair, MIDCAB or Partial Lung Resection
Overview
- Phase
- Not Applicable
- Intervention
- 0.5% levobupivacaine injectable solution with 10 ml of physiological saline
- Conditions
- Analgesia
- Sponsor
- Cliniques universitaires Saint-Luc- Université Catholique de Louvain
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- D0 pain intensity
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
The aim of the study is to compare the analgesia provided by the serratus plane block with local infiltration of the orifices of the trocars after thoracic robot-assisted surgery.
Detailed Description
In our hospital, the current practice to provide post operative analgesia for patients scheduled for robot-assisted mitral repair or oncological thoracic surgery is to dispense local anesthetics at the orifices of the trocars at the end of the surgery and to give a Patient Controlled Analgesia (PCA). Some of these patients are not comfortable and we observe a large percentage of chronic pain. Recently we tried to use the Serratus plane block realised before the beginning of the surgery, and it seemed that patients were more comfortable with a lower consumption of morphine. So we decided to perform a double blind, randomized study in this population of patients to compare the analgesia provided by the serratus plane block realized before the beginning of the surgery and the local infiltration of the wound at the end of the surgery.
Investigators
Eligibility Criteria
Inclusion Criteria
- •mitral repair, coronary artery revascularization or thoracic surgery scheduled robot-assisted surgery
Exclusion Criteria
- •non robot-assisted surgery
Arms & Interventions
serratus
Serratus plane block and local control
Intervention: 0.5% levobupivacaine injectable solution with 10 ml of physiological saline
serratus
Serratus plane block and local control
Intervention: 0.5% levobupivacaine injectable solution with physiological saline
local
serratus control and local anesthesia
Intervention: 0.5% levobupivacaine injectable solution with 10 ml of physiological saline
local
serratus control and local anesthesia
Intervention: 0.5% levobupivacaine injectable solution with physiological saline
Outcomes
Primary Outcomes
D0 pain intensity
Time Frame: 1 day
Self reported pain intensity the day of surgery. Each item is scored 0-100 (0 - no pain, 100 - pain as bad as can be)
Secondary Outcomes
- morphine consumption(5 days)
- D1 pain intensity(3 days)
- persistence of a chronic pain(3 months)