Postoperative Analgesia y After Uniportal Video-assisted Thoracoscopic Surgery

Not Applicable

Recruiting

• Conditions: Post-operative Pain, Acute; Post-operative Pain; Thoracic Diseases; Post-Op Complication
• Interventions: Procedure: Ultrasound-guided erector spinae plane block; Procedure: surgical thoracoscopic intercostal nerve block

• Registration Number: NCT05242328
• Lead Sponsor: National Cheng-Kung University Hospital

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-01-05
• Study First Submitted: 2022-01-26
• Study First Submitted QC: 2022-02-15
• Study First Posted: 2022-02-16
• Status Verified: 2022-12
• Last Update Submitted: 2023-02-23
• Last Update Posted: 2023-02-27
• Primary Completion: 2024-12-26
• Study Completion: 2024-12-26

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• adult patients, over 20 years old, u
• undergoing elective uniportal VATS lobectomy.

Exclusion Criteria

• 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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
post-operative VAS score of Ultrasound-guided erector spinae plane block	Ultrasound-guided erector spinae plane block	-
post-operative VAS score of surgical thoracoscopic intercostal nerve block	surgical thoracoscopic intercostal nerve block	-

Primary Outcome Measures

Name	Time	Method
accumulated morphine usage dose	post-op 2 days	accumulated morphine usage dose
Visual analogue scale	post-op 2 days	post-op VAS score, 0-10, the higher means painful, and "0" point no pain.

Trial Locations

Locations (1)

National Cheng Kung University Hospital; 🇨🇳 Tainan, Taiwan