Quality of Postoperative Recovery (QoR-15T) in Patients Undergoing Video-Assisted Thoracoscopic Surgery (VATS)

Recruiting

• Conditions: Video-Assisted Thoracic Surgery
• Interventions: Other: Preoperative Quality of Recovery-15 (QoR-15T); Other: Postoperative 24th hour Quality of Recovery-15 (QoR-15T)

• Registration Number: NCT06558331
• Lead Sponsor: Başakşehir Çam & Sakura City Hospital

Brief Summary

Video-assisted thoracoscopic surgery (VATS) is a minimally invasive technique that provides faster recovery after thoracic surgery. Techniques such as thoracic paravertebral block, Erector Spina Plane Expansion (ESP block) are accepted as loco-regional techniques for VATS. The quality of recovery after anesthesia (QoR) is an important information of the early health components of patients after surgery. QoR-15 offers a valid, reliable, sensitive and easy-to-use method for recovery after surgery. We aimed to investigate the relationship between QoR-15 score and postoperative pain temperature after Video-Assisted Thoracoscopic Surgery (VATS) ESP block and paravertebral spread.

Detailed Description

Video-assisted thoracoscopic surgery (VATS) is a minimally invasive technique that provides faster recovery after thoracic surgery. Techniques such as thoracic paravertebral block, Erector Spina Plane Expansion (ESP block) are accepted as loco-regional techniques for VATS. Despite the improvement in invasiveness against thoracotomy treatment, postoperative pain after VATS was still moderate to severe. In order to accelerate the recovery of patients, a multimodal analgesic should be carefully planned and where it will be beneficial. The quality of recovery after anesthesia (QoR) is an important information of the early health components of patients after surgery. The performance of QoR-15 has been translated into Turkish and validation studies have been conducted on its products. QoR-15 offers a valid, reliable, sensitive and easy-to-use method for recovery after surgery. We aimed to investigate the relationship between QoR-15 score and postoperative pain temperature after Video-Assisted Thoracoscopic Surgery (VATS) ESP block and paravertebral spread.

Study Timeline

• Status Verified: 2024-08
• Study First Submitted: 2024-08-14
• Study First Submitted QC: 2024-08-14
• Study First Posted: 2024-08-16
• Study Start: 2024-09-01
• Primary Completion: 2025-02-05
• Last Update Submitted: 2025-05-05
• Study Completion: 2025-05-06
• Last Update Posted: 2025-05-06

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• ASA1-3
• Patient undergoing Video Assisted Thoracoscopic Surgery (VATS)
• Over 18 years of age

Exclusion Criteria

• Sympathectomy, lobectomy and pneumonectomy surgery using Video Assisted Thoracoscopic Surgery (VATS)
• Cases that started with Video Assisted Thoracoscopic Surgery (VATS) but were converted to thoracotomy,
• Patients who were uncooperative,
• Patients who refused to participate in the study,
• Presence of a neuropsychiatric disorder that could bias QoR-15T measurements or emergency surgical intervention,
• Patients under 18 years of age.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
ESP Group	Preoperative Quality of Recovery-15 (QoR-15T)	After the patients are taken to the operating table and the necessary ASA monitoring is performed, erector spinae plane block (ESP) is performed on the side where surgery will be performed from the T4-T5 thoracic vertebrae level for peroperative analgesia with ultrasound (USG), depending on the clinician's experience and the USG image.
Paravertebral Group	Postoperative 24th hour Quality of Recovery-15 (QoR-15T)	After the patients are taken to the operating table and the necessary ASA monitoring is performed, paravertebral block is performed on the side where surgery will be performed from the T4-T5 thoracic vertebrae level for peroperative analgesia with ultrasound (USG), depending on the clinician's experience and the USG image.
Paravertebral Group	Preoperative Quality of Recovery-15 (QoR-15T)	After the patients are taken to the operating table and the necessary ASA monitoring is performed, paravertebral block is performed on the side where surgery will be performed from the T4-T5 thoracic vertebrae level for peroperative analgesia with ultrasound (USG), depending on the clinician's experience and the USG image.
ESP Group	Postoperative 24th hour Quality of Recovery-15 (QoR-15T)	After the patients are taken to the operating table and the necessary ASA monitoring is performed, erector spinae plane block (ESP) is performed on the side where surgery will be performed from the T4-T5 thoracic vertebrae level for peroperative analgesia with ultrasound (USG), depending on the clinician's experience and the USG image.

Primary Outcome Measures

Name	Time	Method
Effect of ESP block and paravertebral block on QoR-15 Quality of Recovery in VATS surgery	24 hour	To demonstrate the effect of ESP block and paravertebral block on patient recovery at 24 hours using the Quality of Recovery-15 (QoR-15) scale in patients undergoing Video-Assisted Thoracoscopic Surgery (VATS), Complication,
Pain score with Numeric Rating Scale (NRS score),	1 day	The NRS is a one-dimensional scale using 11 numbers (0 to 10) to measure pain intensity. The patient is asked to choose the number that best reflects the pain intensity, with 0 = no pain and 10 = the worst (unbearable) pain.

Trial Locations

Locations (1)

Başakşehir Çam Ve Sakura Şehir Hastanesi; 🇹🇷 Şişli, İstanbul, Turkey