Comparison of the Effects of Ultrasound-Guided Erector Spinae Plane Block and Serratus Posterior Superior Intercostal Plane Block on Postoperative Analgesia Management in Patients Undergoing Video-Assisted Thoracoscopic Surgery
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 90
- 试验地点
- 2
- 主要终点
- opioid consumption
研究概览
简要总结
Video-assisted thoracoscopic surgery (VATS) is a minimally invasive procedure performed through small thoracic incisions, but postoperative pain remains significant due to tissue and rib trauma. Poorly controlled pain may lead to chronic postoperative pain; therefore, optimal analgesia is essential.
According to PROSPECT guidelines, erector spinae plane block (ESPB) or paravertebral block (PVB) are recommended for VATS. The recently defined serratus posterior superior intercostal plane block (SPSIPB) provides analgesia between C3-T10 levels, but its efficacy compared with ESPB has not been studied.
This study aims to compare postoperative analgesic efficacy and patient satisfaction between ESPB and SPSIPB in VATS patients.
详细描述
Video-assisted thoracoscopic surgery (VATS) is a minimally invasive procedure performed through small thoracic incisions, but postoperative pain remains significant due to tissue and rib trauma. Poorly controlled pain may lead to chronic postoperative pain; therefore, optimal analgesia is essential.
According to PROSPECT guidelines, erector spinae plane block (ESPB) or paravertebral block (PVB) are recommended for VATS. The recently defined serratus posterior superior intercostal plane block (SPSIPB) provides analgesia between C3-T10 levels, but its efficacy compared with ESPB has not been studied.
This study aims to compare postoperative analgesic efficacy and patient satisfaction between ESPB and SPSIPB in VATS patients.
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, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged 18-65 years with ASA physical status I-III who will undergo elective video-assisted thoracoscopic surgery (VATS) will be included.
排除标准
- •Patients who do not consent to participate in the study
- •Patients with coagulopathy
- •Patients with a history of local anesthetic allergy or toxicity
- •Patients with hepatic or renal failure
- •Patients with uncontrolled diabetes
- •Patients with uncontrolled hypertension
- •Mentally disabled patients
- •Patients receiving chronic pain treatment (opioid users)
- •Patients using antidepressant medication
- •Patients with neuropathic pain
- •Mentally disabled patients
- •Presence of infection at the injection site
- •Pregnant or breastfeeding women, or those with suspected pregnancy
结局指标
主要结局
opioid consumption
时间窗: 0, 2, 4, 8, 16 and 24 hours
Tramadol will be prepared as 5mg/ml and patient-controlled analgesia will be administered without basal infusion, with a locking time of 20 minutes and a bolus dose of 10mg.
次要结局
- Postoperative pain scores (Numerical rating scale) (0-meaning "no pain" to 10-meaning "worst pain imaginable")(0, 2, 4, 8, 16 and 24 hours)
- Global recovery scoring system (patient satisfaction scale)- QoR-15(The quality of recovery will be evaluated out of a total of 150 points according to the QoR-15 test to be applied at the portoperative 24th hour.)
- Brief Pain Inventory(postoperative third month)
- Hospital Anxiety and Depression Scale (HADS)(On the morning of surgery and at the 3rd postoperative month)
- Postoperative pain scores (Numerical rating scale) (0-meaning "no pain" to 10-meaning "worst pain imaginable")(0, 2, 4, 8, 16 and 24 hours)
- Global recovery scoring system (patient satisfaction scale)- QoR-15(The quality of recovery will be evaluated out of a total of 150 points according to the QoR-15 test to be applied at the portoperative 24th hour.)
- Brief Pain Inventory(postoperative third month)
- Hospital Anxiety and Depression Scale (HADS)(On the morning of surgery and at the 3rd postoperative month)
研究者
eralp çevikkalp
assoc prof
Bursa City Hospital