Comparison of Surgical Thoracoscopic Intercostal Nerve Block and Ultrasound-guided Erector Spinae Plane Block for Postoperative Analgesia and Enhanced Recovery After Uniportal Video-assisted Thoracoscopic Surgery: a Double-blinded, Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- accumulated morphine usage dose
研究概览
简要总结
Ultrasound-guided erector spinae plane block (ESPB) is an interfascial blockade during thoracic anesthesia, first described by Forero in 2016, and is highlighted by technically feasibility and less complication rate. The patient is placed as decubitus position. The anesthesiologists use echo to identify the ipsilateral transverse process at T5 level, and insert the needle to 2-3 cm lateral to the spinous process until contact the transverse process. Then the injected local anesthetic will penetrate via erector spinae muscle to paravertebral space to affect and relieve pain.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Care Provider)
入排标准
- 年龄范围
- 20 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •adult patients, over 20 years old, u
- •undergoing elective uniportal VATS lobectomy.
排除标准
- •patient refusal,
- •body mass index > 35 kg/m2,
- •American society of anesthesiologists (ASA) grade above 3,
- •contraindication to nerve block,
- •allergy to analgesic agents,
- •regular opioid used for chronic pain prior to this time surgery,
- •conversion to thoracotomy or VATS procedure,
- •postoperative intubation,
- •postoperative intensive care unit admission.
结局指标
主要结局
accumulated morphine usage dose
时间窗: post-op 2 days
accumulated morphine usage dose
Visual analogue scale
时间窗: post-op 2 days
post-op VAS score, 0-10, the higher means painful, and "0" point no pain.
次要结局
未报告次要终点