Quality of Postoperative Recovery (QoR-15T) in Patients Undergoing Video-Assisted Thoracoscopic Surgery (VATS)

Başakşehir Çam & Sakura City Hospital

Status: Enrolling

Conditions: Video-Assisted Thoracic Surgery

Treatments: Other: Postoperative 24th hour Quality of Recovery-15 (QoR-15T); Other: Preoperative Quality of Recovery-15 (QoR-15T)

Study type: Observational

Funder types: Other

Identifiers

NCT06558331

2024-245

Details and patient eligibility

About

Video-assisted thoracoscopic surgery (VATS) is a minimally invasive technique that provides faster recovery after thoracic surgery. Techniques such as thoracic paravertebral block, Erector Spina Plane Expansion (ESP block) are accepted as loco-regional techniques for VATS. The quality of recovery after anesthesia (QoR) is an important information of the early health components of patients after surgery. QoR-15 offers a valid, reliable, sensitive and easy-to-use method for recovery after surgery. We aimed to investigate the relationship between QoR-15 score and postoperative pain temperature after Video-Assisted Thoracoscopic Surgery (VATS) ESP block and paravertebral spread.

Full description

Video-assisted thoracoscopic surgery (VATS) is a minimally invasive technique that provides faster recovery after thoracic surgery. Techniques such as thoracic paravertebral block, Erector Spina Plane Expansion (ESP block) are accepted as loco-regional techniques for VATS. Despite the improvement in invasiveness against thoracotomy treatment, postoperative pain after VATS was still moderate to severe. In order to accelerate the recovery of patients, a multimodal analgesic should be carefully planned and where it will be beneficial. The quality of recovery after anesthesia (QoR) is an important information of the early health components of patients after surgery. The performance of QoR-15 has been translated into Turkish and validation studies have been conducted on its products. QoR-15 offers a valid, reliable, sensitive and easy-to-use method for recovery after surgery. We aimed to investigate the relationship between QoR-15 score and postoperative pain temperature after Video-Assisted Thoracoscopic Surgery (VATS) ESP block and paravertebral spread.

Enrollment: 60 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• ASA1-3
• Patient undergoing Video Assisted Thoracoscopic Surgery (VATS)
• Over 18 years of age

Exclusion criteria

• Sympathectomy, lobectomy and pneumonectomy surgery using Video Assisted Thoracoscopic Surgery (VATS)
• Cases that started with Video Assisted Thoracoscopic Surgery (VATS) but were converted to thoracotomy,
• Patients who were uncooperative,
• Patients who refused to participate in the study,
• Presence of a neuropsychiatric disorder that could bias QoR-15T measurements or emergency surgical intervention,
• Patients under 18 years of age.

Trial design

60 participants in 2 patient groups

ESP Group

Description:

After the patients are taken to the operating table and the necessary ASA monitoring is performed, erector spinae plane block (ESP) is performed on the side where surgery will be performed from the T4-T5 thoracic vertebrae level for peroperative analgesia with ultrasound (USG), depending on the clinician's experience and the USG image.

Treatment:

Other: Preoperative Quality of Recovery-15 (QoR-15T)

Other: Postoperative 24th hour Quality of Recovery-15 (QoR-15T)

Paravertebral Group

Description:

After the patients are taken to the operating table and the necessary ASA monitoring is performed, paravertebral block is performed on the side where surgery will be performed from the T4-T5 thoracic vertebrae level for peroperative analgesia with ultrasound (USG), depending on the clinician's experience and the USG image.

Treatment:

Other: Preoperative Quality of Recovery-15 (QoR-15T)

Other: Postoperative 24th hour Quality of Recovery-15 (QoR-15T)