Pain relief after chest surgery

Phase 3

Completed

Conditions: undergoing postero-lateral thoracotomy for tumours of the thoracic cavity

Registration Number: CTRI/2015/10/006283

Brief Summary: Intercostal block with local anaesthetic has been suggested as an alternative to epidural analgesia for post-thoracotomy pain. We hypothesize that the addition of intercostal block to epidural analgesia in patients undergoing open postero-lateral thoracotomy will reduce pain scores and post-operative analgesic requirements

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 120

Inclusion Criteria

ASA grade I, II and III patients undergoing standard posterolateral thoracotomy.

Exclusion Criteria

1.Refusal of consent 2.Contra-indication to epidural 3.Contra-indication to any of the study drugs (lignocaine, bupivacaine, fentanyl, diclofenac, paracetamol) 4.Additional surgical incisions during the same sitting (except mediastinoscopy) 5.Previous thoracotomy/ thoracoscopy 6.Use of pain medications in the pre-operative period.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Pain score	2 to 4 hours after surgery

Secondary Outcome Measures

Name	Time	Method
Pain score	18 to 24 hours after surgery
Analgesic requirements	first 24 hours after surgery
Maximum volume achieved on spirometry	18 to 24 hours after surgery

Trial Locations

Locations (1): Tata Memorial Hospital
🇮🇳
Mumbai, MAHARASHTRA, India
Tata Memorial Hospital
🇮🇳Mumbai, MAHARASHTRA, India
Priya Ranganathan
Principal investigator
919967971878
drpriyaranganathan@gmail.com