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临床试验/NCT06177652
NCT06177652已完成不适用

Comparison of Thoracal Paravertebral Block and Serratus Plan Block in Pain Management After Thoracotomy

Kocaeli University2 个研究点 分布在 1 个国家目标入组 58 人开始时间: 2022年6月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
58
试验地点
2
主要终点
Morphin consumption

研究概览

简要总结

Thoracotomy is among the most painful surgical procedures and can cause severe pain. Postoperative pain causes many complications. Therefore, pain management is important in patients undergoing thoracotomy. For this purpose, systemic analgesics are used along with ultrasound-guided nerve blocks in thoracotomy pain. The effectiveness of thoracic paravertebral block and serratus plane block in the treatment of post-thoracotomy pain will be evaluated by comparing their effectiveness and complications on postoperative pain. Since the epidural spread of the thoracic paravertebral block is more effective, the effectiveness of postoperative pain relief will be more effective

详细描述

Thoracotomy is among the most painful surgical procedures and can cause severe pain. This pain causes postoperative complications in patients who have thoracotomy surgery. Uncontrolled pain can cause respiratory and thromboembolic events. Therefore, effective pain management is important in patients undergoing thoracotomy. Investigators aim to compare the analgesic effectiveness and complications of thoracic paravertebral block and serratus anterior plane block in relieving thoracotomy pain, which is one of the most painful surgical procedures. It is aimed to compare the effectiveness and complications of thoracic paravertebral block and serratus plane block in postoperative pain control after thoracotomy. Providing pain control reduces postoperative complications and reduces hospital stay, which increases patient comfort and reduces costs. In this research, postoperative morphine consumption after block applications will be compared, and patients' analgesic needs will be evaluated according to the participants' VAS score. Post-operative 3rd, 6th, 9th, 12th, 24th. Morphine consumption will be evaluated by monitoring the hours. It will be evaluated whether there is a need for additional analgesics. During the operation, the patient's heart rate, blood pressure, saturation and temperature variable values will be closely monitored. Standard monitoring methods will be used when examining these parameters.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Crossover
主要目的
Diagnostic
盲法
Single (Participant)

盲法说明

Single(Participant)

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •18-75 aged patients
  • •American Society of Anesthesiologists Classification (ASA) I-II-III patients
  • •patients who scheduled elective thoracic surgery

排除标准

  • •American Society of Anesthesiologists Classification (ASA) IV-V patients
  • •patients with coagulopathy
  • •patient with infection at the injection site

研究组 & 干预措施

Paravertebral Block

Active Comparator

Ultrasound (US) -guided paravertebral block (PVB) with 20 ml 0.5 % bupivacaine will performe preoperatively to all patients in the PVB group.

干预措施: Paravertebral Block (Other)

Serratus Plane Block

Active Comparator

Ultrasound (US) -guided serratus plane block (SPB) with 20 ml 0.5 % bupivacaine will performe preoperatively to all patients in the SPB group.

干预措施: Serratus Plane Block (Other)

结局指标

主要结局

Morphin consumption

时间窗: during postoperative 24 hour

Patient in both groups will provide with intravenous patient-controlled analgesia device containing morphine for postoperative analgesia

次要结局

  • Visual Analogue Scale (VAS)(during postoperative 24 hour)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Nur Nazire Yucal

Doctor

Kocaeli University

研究点 (2)

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