Erector Spinae Block in First Rib Resection: a Monocentric Before-after Study

• Conditions: Thoracic Surgery
• Interventions: Procedure: Erector spinae block

• Registration Number: NCT04167046
• Lead Sponsor: University Hospital, Angers

Brief Summary

First rib resection surgery for thoracic outlet syndrome is associated with an intense postoperative pain. It leads to significant consumption of nonsteroidal anti-inflammatory drugs and opioids, and hospitalization for several days.

In our center, first rib resection surgery was usually performed under general anesthesia combined with diffuse local infiltration of the axillary fossa. Erector spinae block is an interfascial block where a local anesthetic is injected between the erector spinae muscle and the transverse process, in order to obtain a multimetameric analgesia. It has now shown its efficacy and its safety in thoracic and abdominal surgeries by decreasing the morphine consumption and pain scores. Since November 2018, this erector spinae block is systematically performed preoperatively for first rib resection in our center, in association with a general anesthesia. Patient satisfaction seems important but remains to be assessed objectively.

In a before-after study, our goal is to assess the impact of the use of erector spinae block on postoperative pain in the first rib resection surgery.

Detailed Description

Not available

Study Timeline

• Status Verified: 2019-11
• Study Start: 2019-11
• Study First Submitted: 2019-11-14
• Study First Submitted QC: 2019-11-14
• Last Update Submitted: 2019-11-14
• Study First Posted: 2019-11-18
• Last Update Posted: 2019-11-18
• Primary Completion: 2021-03
• Study Completion: 2021-03

Recruitment & Eligibility

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

Inclusion Criteria

• First rib resection for thoracic outlet syndrome

Exclusion Criteria

Not provided

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Erector spinae block	Erector spinae block	Patients in this group receive an erector spinae block. Data will be obtained prospectively.

Primary Outcome Measures

Name	Time	Method
Pain assessment at H+48	Day 2 after surgery	Numerical pain rating scale: 0 (no pain at all) to 10 (worst imaginable pain)

Secondary Outcome Measures

Name	Time	Method
Postoperative pain assessment at other times	Hour 2, Day 1, and Day 3 after surgery	Numerical pain rating scale: 0 (no pain at all) to 10 (worst imaginable pain)
Total consumption of morphine (per and postoperative)	Hour 2, Day 1, Day 2 and Day 3 after surgery
Frequency of adverse effects related to morphine Frequency of morphine side effects	Hour 2, Day 1, Day 2 and Day 3 after surgery
Length of hospital stay	Through study completion, an average of 1 year

Trial Locations

Locations (1)

Département d'Anesthésie-Réanimation du CHU d'Angers; 🇫🇷 Angers, France