Comparison of the Effects of ESP Block and Paravertebral Block on the Quality of Postoperative Recovery (QoR-15T) in Patients Undergoing Video-Assisted Thoracoscopic Surgery (VATS)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Effect of ESP block and paravertebral block on QoR-15 Quality of Recovery in VATS surgery
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Double (Care Provider, Outcomes Assessor)
盲法说明
Patients were assigned to Group ESPB or Group PVB using a computer-generated randomization list to ensure unbiased allocation. Allocation concealment was maintained using sealed, opaque envelopes that were opened immediately before block performance by the anesthesiologist performing the procedure.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patient undergoing Video Assisted Thoracoscopic Surgery (VATS)
- •Over 18 years of age
排除标准
- •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.
研究组 & 干预措施
ESPB Group
Patients received ultrasound-guided erector spinae plane block at T4-T5 level
干预措施: Bupivacaine 0,25% (Drug)
PVB Group
Patients received ultrasound-guided paravertebral block at T5 level
干预措施: Bupivacaine 0,375% (Drug)
结局指标
主要结局
Effect of ESP block and paravertebral block on QoR-15 Quality of Recovery in VATS surgery
时间窗: 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). The QoR-15 scale provides a score ranging from 0 to 150, with a high score indicating a good quality of recovery.
Pain score with Numeric Rating Scale (NRS score),
时间窗: 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.
次要结局
- Pain score with Numeric Rating Scale (NRS score),(1 day)
研究者
Cansu KILINC BERKTAS
Specialist MD
Başakşehir Çam & Sakura City Hospital