Paravertebral Block Versus Thoracic Epidural Analgesia in Patients Undergoing Video Assisted Lung Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Thoracic epidural
- Conditions
- Lung Cancer
- Sponsor
- St. Olavs Hospital
- Enrollment
- 94
- Locations
- 1
- Primary Endpoint
- Time in minutes total time at the operating ward
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Thoracic epidural analgesia (TEA) is the basic method of analgesia in patients undergoing pulmonary lobectomy. TEA is considered to be a safe and thoroughly investigated method of pain relief that rarely causes serious complications. However, blocking the nerves as they emerge from the spinal column (paravertebral block, PVB) may represent an alternative method with some potential benefits. In this study, TEA and PVB will be compared for patients undergoing pulmonary lobectomy by video assisted thoracoscopic surgery. The aim of the study is to test the hypothesis, that PVB is a time-saving procedure compared with TEA on the day of surgery and that PVB is as efficient in postoperative pain reduction as TEA.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients with lung cancer in stage 1 or 2 who are accepted for VATS-lobectomy
- •Exclusion Criteria, preoperative:
- •Patients who do not wish to participate
- •Patients with:
- •suspicion of ingrowth in the thoracic wall.
- •marginal lung function.
- •kidney failure.
- •chronic pains and/ or daily use of opioids.
- •cognitive, visual and / or linguistic dysfunction.
- •allergies to drugs used in the paravertebral block or the thoracic epidural analgesia.
Exclusion Criteria
- Not provided
Arms & Interventions
Thoracic epidural analgesia
Standard thoracic epidurals preoperatively at the dag of surgery.
Intervention: Thoracic epidural
Paravertebral block
Paravertebral block inserted at the end of the operation by the surgeons
Intervention: Paravertebral block
Outcomes
Primary Outcomes
Time in minutes total time at the operating ward
Time Frame: 1 hour
Pain intensity during hospitalization: Numerical Rating Scale (NRS)
Time Frame: Up to 12 months after surgery
using the Numerical Rating Scale (NRS) in predetermined time intervals after the operation
Secondary Outcomes
- Hospital length of stay in days(until discharge from hospital (max 1 month))