Effect of Continue RISS Block in Thoracotomy

Not Applicable

Completed

• Conditions: Thoracotomy; Postoperative Pain
• Interventions: Other: IV PCA; Drug: Tramadol

• Registration Number: NCT04443556
• Lead Sponsor: Konya Meram State Hospital

Brief Summary

Thoracotomy is one of the most painful surgery. Acute postoperative pain increases postoperative morbidity and prolongs hospital stay and also may lead to developing a chronic pain syndrome. This study aimed to assess the efficacy of continuous rhomboid intercostal and subserratus plane (RISS) block by inserting a catheter under direct vision for controlling acute thoracotomy pain.

Detailed Description

Before the closure of the thoracotomy, the surgeon will place two catheters through a Tuohy needle into fascial planes for continue RISS block. First catheter tip will be place towards the interfascial planes between the rhomboid major and intercostal muscles and the second catheter tip will be place in subserratus fascial plane. Continue local anesthetics will be injected through the catheters for 48 hours.

Study Timeline

• Study First Submitted: 2020-06-20
• Study First Submitted QC: 2020-06-22
• Study First Posted: 2020-06-23
• Study Start: 2020-08-31
• Primary Completion: 2021-01-30
• Study Completion: 2021-02-15
• Status Verified: 2021-04
• Last Update Submitted: 2021-04-18
• Last Update Posted: 2021-04-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Patients over 18 years of age undergoing elective thoracic surgery
• American Society of Anesthesiologists (ASA) physical status I-III grade

Exclusion Criteria

• Patient refusal
• History of psychiatric and cognitive disorders.
• Patients allergic to the drugs used in the study
• Emergent surgery

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control Group	IV PCA	Standart postoperative analgesia
Group Rhomboid Intercostal and Subserratus Plane Block	IV PCA	Standart postoperative analgesia + Continue Rhomboid Intercostal and Subserratus Plane Block
Group Rhomboid Intercostal and Subserratus Plane Block	Tramadol	Standart postoperative analgesia + Continue Rhomboid Intercostal and Subserratus Plane Block

Primary Outcome Measures

Name	Time	Method
postoperative pain	postoperative 48 hour	Numeric rating scale (NRS) NRS use numbers to rate pain from 0 (no pain) to 10 (worst pain).

Secondary Outcome Measures

Name	Time	Method
Analgesic consumption	Postoperative 48 hour	Total opioid consumption after the surgery

Trial Locations

Locations (1)

Konya Education and Training Hospital; 🇹🇷 Konya, Turkey