Thoracotomy: Intercostal Nerve Block Versus Epidural Anesthesia
Not Applicable
Completed
- Conditions
- Thoracotomy
- Interventions
- Procedure: epidural anesthesiaProcedure: intercostal anesthesia
- Registration Number
- NCT01076894
- Lead Sponsor
- University of Ulm
- Brief Summary
Postoperative pain and consecutive reduction of pulmonary function after thoracic surgery still is a major clinical problem and challenge in anesthesia. Thoracic epidural anesthesia is commonly considered to be the "gold standard" for postoperative pain control and restoration of pulmonary function after thoracic surgery.
Thus, the aim of the present study is to investigate whether an intercostal nerve block with ropivacaine plus intravenous PCA with morphine is as effective as thoracic epidural anesthesia with respect to postoperative pain control and pulmonary
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 83
Inclusion Criteria
- patients undergoing elective pulmonary surgery, including pneumonectomy, bilobectomy, lobectomy, typical and atypical segmentectomy, via a lateral or posterolateral thoracotomy without chest-wall resection
Exclusion Criteria
- age<18 yr
- any contraindication to epidural anaesthesia, intercostal nerve block or the use of ropivacaine, morphine, metamizol or diclofenac
- lack of patient's cooperation
- any type of chronic painful condition or current opioid use
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description epidural anesthesia epidural anesthesia - intercostal anesthesia intercostal anesthesia -
- Primary Outcome Measures
Name Time Method Pain at rest and on coughing after thoracic surgery Pain during the first four postoperative days
- Secondary Outcome Measures
Name Time Method pulmonary function (peak expiratory flow rate) after thoracic surgery first four postoperative days
Trial Locations
- Locations (1)
Universtity Clinic Ulm
🇩🇪Ulm, Germany