Comparison of Thoracic Paravertebral Block and Pectoral Nerve Block

Bakirkoy Dr. Sadi Konuk Training and Research Hospital

Status: Completed

Conditions: Postoperative Analgesia; Video-assisted Thoracoscopic Surgery; Thoracic Paravertebral Block

Treatments: Procedure: paravertebral block; Procedure: pectoral block

Study type: Interventional

Funder types: Other

Identifiers

NCT04855994

2017-140

Details and patient eligibility

About

This study aims to compare the efficacy and safety of ultrasound-guidedPECS II block with TPVB for postoperative analgesia after VATS.

Full description

52 patients (ASA I-III) between 18 and 65 years of age, who were to undergo VATS, were randomized and divided into two groups. (26 patients in each of the PECS and TPVB groups) Thoracic paravertebral block was administered from two consecutive levels for TPVB group and a modified pectoral nerve block was performed in the PECS group. Postoperative analgesia was provided by intravenous morphine infusion using a patient-controlled analgesia device. Postoperative 24-hour total morphine consumption and duration of analgesia were the primary outcome measure. Perioperative remifentanil use, visual analog scale values during at rest and coughing, time of the first analgesic request, and additional analgesic consumption were recorded.

Enrollment: 52 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Ages of 18-65
• Patients who will undergo VATS
• ASA I-II-III patients

Exclusion criteria

• Patients with ASA IV
• Clinically diagnosis of spinal or chest wall deformity or pathology
• Clinically known local anesthetic allergy
• Morbid obesity (body mass index>40 kg m2)
• Clinically diagnosis of opioid, alcohol and substance dependence
• Clinically diagnosis of psychiatric disease
• Coagulopathy

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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52 participants in 2 patient groups

paravertebral group

Active Comparator group

Description:

The investigators performed Paravertebral block to that patient group for postoperative analgesia

Treatment:

Procedure: paravertebral block

pectoral group

Active Comparator group

Description:

The investigators performed pectoral block to that patient group for postoperative analgesia

Treatment:

Procedure: pectoral block