Comparison of the Clinical Efficacy of 2 Paravertebral Block Strategies in Thoracic Surgery by Thoracotomy: : by the Anesthetist (Paravertebral Block Guided by Ultrasound) and by the Thoracic Surgeon (Paravertebral Block Visual)
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- CHU de Reims
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- pain
研究概览
简要总结
Post-thoracotomy pain is one of the most severe. The local analgesia allows its effective control and a reduction of postoperative morbidity and mortality.
The gold standard for local analgesia is the thoracic epidural. However, this technique can be dangerous with severe complications.
The paravertebral block showed comparable efficacy to the thoracic epidural for local analgesia . In addition, it has a better safety profile. There are several installation techniques. The difference in efficiency of these laying techniques is unknown.
详细描述
Compare the clinical effectiveness of two strategies of realization of paravertebral block: by the anesthetist before incision (paravertebral block guided by ultrasound) and by the thoracic surgeon at chest closure (paravertebral block visual).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patient with thoracotomy indication for segmentectomy (s), lobectomy (s) lung or pulmonary wedge resection
- •patient consenting to participate to the study
- •patient enrolled in the national healthcare insurance program
- •patient older than 18 years
排除标准
- •patient with neuropathy
- •patient with body mass index superior to 35 kg/m2
- •patient with contraindication for paravertebral block or local analgesia
研究组 & 干预措施
experimental group
paravertebral block by the anesthetist before incision (paravertebral block guided by ultrasound)
干预措施: paravertebral block by the anesthetist before incision (paravertebral block guided by ultrasound) (Other)
control group
paravertebral block by the thoracic surgeon at chest closure (paravertebral block visual)
干预措施: paravertebral block by the thoracic surgeon at chest closure (paravertebral block visual). (Other)
结局指标
主要结局
pain
时间窗: 24 hours
Pain evaluated using a visual analog pain scale
次要结局
未报告次要终点