Effect of Two Different Plane Blocks on Post-thoracotomy Pain

Atatürk Chest Diseases and Chest Surgery Training and Research Hospital

Status: Completed

Conditions: Erector Spinae Plane Block; Thoracotomy; Pain, Postoperative; Serratus Anterior Plane Block

Treatments: Procedure: Continuous Erector Spina Plane Block vs Continuous Serratus Anterior Plane Block

Study type: Interventional

Funder types: Other

Identifiers

NCT05083832

E.Kurul-E1-21-1863

Details and patient eligibility

About

Thoracotomy is recognized as one of the most painful surgical procedures. This increases the frequency of postoperative pulmonary complications. Erector Spinae Plane Block (ESPB) and Serratus Anterior Plane Block (SAPB) are more superficial, easier to perform, and less likely to have complications. In addition, ESPB and SAPB applications are increasing in patients who underwent thoracotomy and thoracoscopic surgery.

In this study, the investigators aimed to evaluate the effect of continuous ESPB and continuous SAPB via US-guidance on post-thoracotomy pain.

Enrollment: 60 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 18 to 65 years old
• ASA physical status I-II-III
• BMI 18 to 30 kg/m2
• Elective thoracotomy surgery

Exclusion criteria

• Patient refusing the procedure
• Emergency surgery
• History of chronic opioid or analgesic used

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

Continuous erector spinae plane block

Active Comparator group

Description:

Following the visualization of the anatomical structures, the nerve block needle was advanced via the in-plane technique beneath the erector spinae muscles until the interfascial space was reached. After hydrodissection with 2 ml normal saline, 20 ml 0.25% bupivacaine was injected into the area. A catheter will be placed in this area. Then, 5 ml/hour 0.125% bupivacaine will be infused via erector spinae plane block catheter.

Treatment:

Procedure: Continuous Erector Spina Plane Block vs Continuous Serratus Anterior Plane Block

Continuous serratus anterior plane block

Active Comparator group

Description:

Following the visualization of the anatomical structures, the nerve block needle was advanced via the in-plane technique beneath the serratus anterior muscles until the fourth rib area. After hydrodissection with 2 ml normal saline, 20 ml 0.25% bupivacaine was injected into the area. A catheter will be placed in this area. Then, 5 ml/hour 0.125% bupivacaine will be infused via serratus anterior plane block catheter.

Treatment:

Procedure: Continuous Erector Spina Plane Block vs Continuous Serratus Anterior Plane Block