ESP Block, CNP and QoL After VATS

Completed

• Conditions: Video-assisted Thoracoscopic Surgery; Postoperative Pain
• Interventions: Procedure: Erector spinae plane block

• Registration Number: NCT04737902
• Lead Sponsor: Hospital Universitario San Ignacio

Brief Summary

The Erector Spinae Plane Block (ESPB) is an adequate alternative for pain management after video-assisted thoracoscopy surgery (VATS). The incidence of postoperative chronic neuropathic pain (CNP) and the quality of life (QoL) in patients with ESPB after VATS remain unknown. We hypothesised that patients with ESPB would have a low incidence of acute and CNP and would report a good QoL up to three months after VATS.

Detailed Description

We, therefore, performed this prospective observational study. The a priori primary outcome was incidence of CNP three months postoperatively (POP) in patients undergoing VATS surgery with ESPB as the regional anaesthesia technique. The secondary outcome was to describe pain control at PACU, 12 and 24 hours POP and QoL reported up to three months after surgery. We hypothesised that patients with ESPB would have a low incidence of acute and CNP and report a good QoL.

Study Timeline

• Study Start: 2019-01-01
• Primary Completion: 2020-04-30
• Study Completion: 2020-04-30
• Status Verified: 2021-01
• Study First Submitted: 2021-01-30
• Study First Submitted QC: 2021-01-30
• Last Update Submitted: 2021-01-30
• Study First Posted: 2021-02-04
• Last Update Posted: 2021-02-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 42

Inclusion Criteria

• patients who underwent VATS and required at least one day of hospital stay after surgery

Exclusion Criteria

• patients with mental or physical limitation to answer the questionnaires.
• patients who required mechanical ventilation.
• patients who required surgery conversion to thoracotomy.
• patients who declined consent.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
VATS with ESPB	Erector spinae plane block	Study subjects underwent anaesthesia and VATS without a change in their routine care. At the end of the surgery, an erector spinae plane block was performed for acute pain control following our institutional protocol for perioperative care.

Primary Outcome Measures

Name	Time	Method
Incidence of chronic neurophatic pain	3 month	incidence of CNP three months postoperatively (POP) in patients undergoing VATS surgery with ESPB as the regional anaesthesia technique

Secondary Outcome Measures

Name	Time	Method
Postoperative pain	24 hours	pain control at PACU, 12 and 24 hours POP
Quality of Life POP	3 months POP	Quality of Life by EQ-5D

Trial Locations

Locations (1)

Hospital Universitario; 🇨🇴 Bogota, Cundinamarca, Colombia