The Effects of Ultrasound-guided Mid-point Transverse Process to Pleura Block, Erector Spinae Plane Block and Paravertebral Block on Postoperative Pain in Video-assisted Thoracic Surgery
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Thoracic Anesthesia
- Sponsor
- Huazhong University of Science and Technology
- Enrollment
- 90
- Locations
- 1
- Primary Endpoint
- postoperative morphine consumption
- Last Updated
- 4 years ago
Overview
Brief Summary
Ultrasound-guided mid-point transverse process to pleura block, erector spinae plane block and paravertebral block are three different methods of nerve block, used for relieving postoperative pain in thoracic anesthesia. This study is to compare them on block effects, postoperative pain and analgesic consumption in video-assisted thoracic surgery.
Detailed Description
Ultrasound-guided nerve block is an important part of multi-mode analgesia to decrease the consumption of opioids. Thoracic paravertebral block is considered as an ideal regional analgesic choice for video-assisted thoracic surgery, but it still has some side effects, such as pneumothorax, vascular injury, especially for novices. Recent years, ultrasound-guided mid-point transverse process to pleura block and erector spinae plane block are reported for thoracic surgery. The insertion depth in these two methods is more superficial than traditional paravertebral block. They could have less side effects. Therefore, we design a randomised control study to compare them on block effects, postoperative pain and analgesic consumption in video-assisted thoracic surgery.
Investigators
Wenlong Yao
Associate Professor
Huazhong University of Science and Technology
Eligibility Criteria
Inclusion Criteria
- •selective lobetomy under VATS
- •ASA classfication 1-3
Exclusion Criteria
- •history of thoracic surgery
- •double lateral VATS
- •allergy to local anesthetics
- •coagulation disorders
- •severe heart diseases, hepatic or renal insufficiency
- •a history of chronic pain or chronic opioid use
- •psychiatric disease or uncooperative
- •BMI\>28 kg/m2
- •VATS transfered to open thoractomy
Outcomes
Primary Outcomes
postoperative morphine consumption
Time Frame: postoperative 24 hours
The dose is according to the record from PCA pump
Secondary Outcomes
- Pain score at rest(at 0, 8, 24 hour after surgery)
- Pain score while coughing(at 0, 8, 24 hour after surgery)