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

Başakşehir Çam & Sakura City Hospital

Status: Completed

Conditions: Video-Assisted Thoracic Surgery

Treatments: Drug: Bupivacaine 0,25%; Drug: Bupivacaine 0,375%

Study type: Interventional

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 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

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

ESPB Group

Active Comparator group

Description:

Patients received ultrasound-guided erector spinae plane block at T4-T5 level

Treatment:

Drug: Bupivacaine 0,25%

PVB Group

Active Comparator group

Description:

Patients received ultrasound-guided paravertebral block at T5 level

Treatment:

Drug: Bupivacaine 0,375%