Interest of Serratus Plane Block in Postoperative Analgesia for Robot-assisted Surgery

Cliniques universitaires Saint-Luc- Université Catholique de Louvain

Status: Completed

Conditions: Analgesia; Robotic Surgery

Treatments: Drug: 0.5% levobupivacaine injectable solution with physiological saline; Drug: 0.5% levobupivacaine injectable solution with 10 ml of physiological saline

Study type: Interventional

Funder types: Other

Identifiers

NCT03110120

2015/07JAN/008

Details and patient eligibility

About

The aim of the study is to compare the analgesia provided by the serratus plane block with local infiltration of the orifices of the trocars after thoracic robot-assisted surgery.

Full description

In our hospital, the current practice to provide post operative analgesia for patients scheduled for robot-assisted mitral repair or oncological thoracic surgery is to dispense local anesthetics at the orifices of the trocars at the end of the surgery and to give a Patient Controlled Analgesia (PCA). Some of these patients are not comfortable and we observe a large percentage of chronic pain. Recently we tried to use the Serratus plane block realised before the beginning of the surgery, and it seemed that patients were more comfortable with a lower consumption of morphine. So we decided to perform a double blind, randomized study in this population of patients to compare the analgesia provided by the serratus plane block realized before the beginning of the surgery and the local infiltration of the wound at the end of the surgery.

Enrollment: 60 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• mitral repair, coronary artery revascularization or thoracic surgery scheduled robot-assisted surgery

Exclusion criteria

• non robot-assisted surgery

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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60 participants in 2 patient groups

serratus

Active Comparator group

Description:

Serratus plane block and local control

Treatment:

Drug: 0.5% levobupivacaine injectable solution with physiological saline

Drug: 0.5% levobupivacaine injectable solution with 10 ml of physiological saline

Drug: 0.5% levobupivacaine injectable solution with physiological saline

Drug: 0.5% levobupivacaine injectable solution with 10 ml of physiological saline

local

Sham Comparator group

Description:

serratus control and local anesthesia

Treatment:

Drug: 0.5% levobupivacaine injectable solution with physiological saline

Drug: 0.5% levobupivacaine injectable solution with 10 ml of physiological saline

Drug: 0.5% levobupivacaine injectable solution with physiological saline

Drug: 0.5% levobupivacaine injectable solution with 10 ml of physiological saline