Comparison of Intraoperative Opioid Consumption, Emergence Time and Hemodynamic Stability Between Ultrasound-guided Deep and Superficial Serratus Anterior Plane Block During Video-assisted Thoracoscopic Lobectomy
试验速览
- 阶段
- 不适用
- 入组人数
- 56
- 试验地点
- 2
- 主要终点
- Intraoperative remifentanil consumption
研究概览
简要总结
This study evaluates the difference of deep and superficial serratus anterior plane block on intraoperative opioid consumption, emergence time and hemodynamic stability in patients undergoing video-assisted thoracic surgery.
详细描述
Thoracotomy is known as one of the most painful surgery. Thus, there is a development to reduce surgical stress in terms of operation technique, which is video-assisted thoracoscopic surgery. Although it has reduced postoperative pain and complications compared with thoracotomy, VATS is still quite painful operation. Serratus plane block is a novel technique which provide analgesic effect for lateral chest wall by blocking lateral branch of intercostal nerve. Two methods were proposed to target the top and bottom of the serratus anterior muscle. However, the difference of deep and superficial serratus anterior plane block during intraoperative period has not yet been studied.
In this study, therefore, the investigators decided to assess the difference of deep and superficial serratus anterior plane block on intraoperative opioid consumption, emergence time and hemodynamic stability in patients undergoing video-assisted thoracic surgery.
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
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •a) American Society of Anesthesiologists (ASA) physical status 1 or 2
- •b) age 20-75 years
- •c) elective three port Video-assisted thoracoscopic surgery (VATS) lobectomy.
排除标准
- •a) a history of drug allergy for opioids or local anesthetics
- •b) local infection at the injection site and systemic infection
- •c) coagulopathy
- •d) difficulty in understanding the study protocol
- •e) refusal to participate
结局指标
主要结局
Intraoperative remifentanil consumption
时间窗: through study completion, an average of 1 year
Intraoperative remifentanil consumption will be checked.
次要结局
- Dose of rescue drugs used to control blood pressure and HR(through study completion, an average of 1 year)
- Postoperative pain: numeric rating scale(30 minutes later operation)
- Emergence time(through study completion, an average of 1 year)
- Systolic blood pressure(through study completion, an average of 1 year)
- Heart rate (HR) Heart rate(through study completion, an average of 1 year)
研究者
Saeyoung Kim, MD, PhD
Associate professor
Kyungpook National University Hospital