Postoperative Analgesia y After Uniportal Video-assisted Thoracoscopic Surgery

National Cheng-Kung University

Status: Enrolling

Conditions: Post-Op Complication; Post-operative Pain; Post-operative Pain, Acute; Thoracic Diseases

Treatments: Procedure: surgical thoracoscopic intercostal nerve block; Procedure: Ultrasound-guided erector spinae plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT05242328

A-ER-110-293

Details and patient eligibility

About

Ultrasound-guided erector spinae plane block (ESPB) is an interfascial blockade during thoracic anesthesia, first described by Forero in 2016, and is highlighted by technically feasibility and less complication rate. The patient is placed as decubitus position. The anesthesiologists use echo to identify the ipsilateral transverse process at T5 level, and insert the needle to 2-3 cm lateral to the spinous process until contact the transverse process. Then the injected local anesthetic will penetrate via erector spinae muscle to paravertebral space to affect and relieve pain.

Enrollment: 40 estimated patients

Sex: All

Ages: 20+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• adult patients, over 20 years old, u
• undergoing elective uniportal VATS lobectomy.

Exclusion criteria

• patient refusal,
• body mass index > 35 kg/m2,
• American society of anesthesiologists (ASA) grade above 3,
• contraindication to nerve block,
• allergy to analgesic agents,
• regular opioid used for chronic pain prior to this time surgery,
• conversion to thoracotomy or VATS procedure,
• postoperative intubation,
• postoperative intensive care unit admission.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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40 participants in 2 patient groups

post-operative VAS score of Ultrasound-guided erector spinae plane block

Active Comparator group

Treatment:

Procedure: Ultrasound-guided erector spinae plane block

post-operative VAS score of surgical thoracoscopic intercostal nerve block

Active Comparator group

Treatment:

Procedure: surgical thoracoscopic intercostal nerve block