Comparision of the Effects of Ultrasound-guided Erector Spinae Block and Combined Deep and Superficial Serratus Anterior Plane Block on Perioperative Analgesia for 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
- 70
- 试验地点
- 1
- 主要终点
- postoperative analgesic effects
研究概览
简要总结
Objective: The authors hypothesized that combined deep and superficial serratus anterior plane block (SAPB) is as effective as erector spinae plane block (ESPB) for intraoperative and postoperative analgesia for video-assisted thoracoscopic surgery.
Design: A prospective randomized controlled study. Participants: Adult patients undergoing elective video-assisted thoracoscopic surgery.
Interventions: Preoperative SAPB or ESPB implementation.
详细描述
Plane blocks implemented on preoperative course on 35 patients for each group. Postoperative Visual Analogue Scale (VAS) scores (0-10), intraoperative and postoperative analgesic consumption was measured using Mann-Whitney test. In the postoperative phase, opioid side effects, complications related to plane blocks, mobilization time and length of hospital stay was recorded and measured.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •American Society of Anaesthesiologists (ASA) classification I-II scheduled for elective VATS
排除标准
- •Patients who did not give consent
- •Local anaesthetic allergy
- •Known or suspected coagulopathy
- •İnfection at the injection site
- •History of thoracic surgery
- •Severe cardiovascular disease
- •Hepatic or renal insufficiency (glomerular filtration rate <15 ml/min/1.73 m2)
- •Severe neurological or psychiatric disorders
- •Chronic opioid use
结局指标
主要结局
postoperative analgesic effects
时间窗: first 48 hours
The primary outcome is compare the postoperative analgesic effects of SAPB and ESPB applied under USG guidance before surgery in patients scheduled for VATS using VAS (Visual Analogue Scale from 0 to 10).
intraoperative analgesic effects
时间窗: intraoperative phase
The primary outcome is compare the intraoperative analgesic effects of SAPB and ESPB applied under USG guidance before surgery in patients scheduled for VATS by measuring perioperative fentanyl consumption in both groups.
次要结局
- side effects(first 48 hours)
- complications(first 48 hours)
- stay of hospital(first 4 days)
- mobilization(first 48 hours)
研究者
Seda Cansabuncu
medical doctor
Uludag University