Postoperative Analgesia y After Uniportal Video-assisted Thoracoscopic Surgery

Post-operative Pain Clinical Trial

Official title:

Comparison of Surgical Thoracoscopic Intercostal Nerve Block and Ultrasound-guided Erector Spinae Plane Block for Postoperative Analgesia and Enhanced Recovery After Uniportal Video-assisted Thoracoscopic Surgery: a Double-blinded, Randomized Controlled Trial

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05242328
• Other study ID #: A-ER-110-293
• Status: Recruiting
• Phase: N/A
• Start date: January 5, 2021
• Est. completion date: December 26, 2024

Study information

• Verified date: December 2022
• Source: National Cheng-Kung University Hospital
• Contact: Shuoying Dai, MD
• Phone: +886-6-2353535
• Email: hsnu_10[@]yahoo.com.tw
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 40
• Est. completion date: December 26, 2024
• Est. primary completion date: December 26, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years and older

Eligibility

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.

Related Conditions & MeSH terms

• Acute Pain
• Pain, Postoperative
• Post-Op Complication
• Post-operative Pain
• Postoperative Complications
• Thoracic Diseases

Intervention

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

Locations

Country	Name	City	State
Taiwan	National Cheng Kung University Hospital	Tainan

Sponsors (1)

Lead Sponsor	Collaborator
National Cheng-Kung University Hospital

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Visual analogue scale	post-op VAS score, 0-10, the higher means painful, and "0" point no pain.	post-op 2 days
Primary	accumulated morphine usage dose	accumulated morphine usage dose	post-op 2 days