ESP Block, CNP and QoL After VATS

Hospital Universitario San Ignacio

Status: Completed

Conditions: Postoperative Pain; Video-assisted Thoracoscopic Surgery

Treatments: Procedure: Erector spinae plane block

Study type: Observational

Funder types: Other

Identifiers

NCT04737902

FMCIE-0043-19

Details and patient eligibility

About

The Erector Spinae Plane Block (ESPB) is an adequate alternative for pain management after video-assisted thoracoscopy surgery (VATS). The incidence of postoperative chronic neuropathic pain (CNP) and the quality of life (QoL) in patients with ESPB after VATS remain unknown. We hypothesised that patients with ESPB would have a low incidence of acute and CNP and would report a good QoL up to three months after VATS.

Full description

We, therefore, performed this prospective observational study. The a priori primary outcome was incidence of CNP three months postoperatively (POP) in patients undergoing VATS surgery with ESPB as the regional anaesthesia technique. The secondary outcome was to describe pain control at PACU, 12 and 24 hours POP and QoL reported up to three months after surgery. We hypothesised that patients with ESPB would have a low incidence of acute and CNP and report a good QoL.

Enrollment: 42 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients who underwent VATS and required at least one day of hospital stay after surgery

Exclusion criteria

• patients with mental or physical limitation to answer the questionnaires.
• patients who required mechanical ventilation.
• patients who required surgery conversion to thoracotomy.
• patients who declined consent.

Trial design

42 participants in 1 patient group

VATS with ESPB

Description:

Study subjects underwent anaesthesia and VATS without a change in their routine care. At the end of the surgery, an erector spinae plane block was performed for acute pain control following our institutional protocol for perioperative care.

Treatment:

Procedure: Erector spinae plane block