Efficacy of SAP Block Versus ESP Block in VATS Surgery

Status Completed

Clinical Trial Summary

During VATS (Video assisted thoracic surgery) small incisions are made in the patient's chest through which a camera and instruments are inserted to allow a lung operation to be performed. Often patients experience a substantial amount of pain and difficult recovery after this type of operation. Anaesthesiologists sometimes use "Regional Anaesthesia" to minimise the pain and help patient recovery after the operation. This involves injecting local anaesthesia into the nerves around the chest wall to effectively numb that part of the chest. There is a variety of different locations on the chest wall where the local anaesthetic can be deposited and no study has measured whether one technique is better than the other in terms of improving patients' recovery experience. Our study compares two new techniques for Regional Anaesthesia after this type of surgery. Participants will be randomly assigned (like tossing a coin) to receive either a SAP (Serratus Anterior Plane) or ESP (Erector Spinae Plane) Block. Both techniques are described within last five years, but have never been compared for chest surgery

Clinical Trial Description

The Serratus Anterior Plane (SAP) Block has been claimed to be a safer, technically less demanding alternative to paravertebral block and thoracic epidural in the management of post operative VATS associated pain . Recently, another new block, the Erector Spinae Block (ESP Block) has been described for use in thoracic wall surgery. It has also been claimed to be easier to perform than these more traditional methods of regional anaesthesia. No study to date has compared ESP to SAP blocks in terms of efficacy of post operative analgesia after VATS surgery. Furthermore, patient-centres outcome studies now demand that researchers evaluate more than acute pain in the early postoperative period: A 15-parameter Quality of Recovery score (QoR-15) has been recommended as the optimum tool to evaluate overall patient-centres measures of recovery after surgery, including pain. This study will test the hypothesis that patients receiving ESP Block have higher QoR-15 scores and better post operative analgesia in comparison with patients receiving SAP Block after VATS surgery. ;

Study Design

Related Conditions & MeSH terms

Regional Anesthesia Morbidity

Clinical Trial Details

NCT number	NCT03862612
Study type	Interventional
Source	Mater Misericordiae University Hospital
Contact
Status	Completed
Phase	N/A
Start date	June 5, 2019
Completion date	April 2, 2020

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT06005480` - Understanding Rebound Pain After Regional Anesthesia Resolution in Healthy Volunteers	Phase 1
Completed	`NCT04565093` - Efficacy of iPACK After Unilateral TKA	N/A
Recruiting	`NCT06074471` - Motor Sparing Supraclavicular Block	N/A
Completed	`NCT03740815` - Feasibility of Serratus Plane Block Associated With Sedation in Axillary Dissection	N/A
Completed	`NCT02524652` - Local Infiltration Analgesia vs Adductor Canal Block for Analgesia After Anterior Cruciate Ligament Reconstruction	Phase 4
Completed	`NCT03913429` - Ultrasound-guided Bilateral Suprazygomatic Maxillary Nerve Block and Bimaxillary Osteotomy	N/A
Completed	`NCT05012332` - Local Anesthesia Spread After an Erector Spinae Plane Block.	N/A
Withdrawn	`NCT04015284` - Intraoperative Pain and Quality of Surgical Block During Shoulder Surgery Assessed by NOL Index	N/A
Recruiting	`NCT05432934` - Transversus Abdominis Plane Blocks With and Without Dexamethasone	Phase 1/Phase 2
Recruiting	`NCT05512897` - Does ESP Block Reduce Pain and Opiates Consumption After Surgery	N/A
Completed	`NCT04085263` - Rhomboid Intercostal and Subserratus Plane Block	N/A
Not yet recruiting	`NCT04001387` - Feasibility of Real-time Ultrasound-guided Spinal Anesthesia Using Dynamic Needle Tip Positioning
Active, not recruiting	`NCT05478629` - Safety of Regional Anesthesia in Ukraine: the Survey
Terminated	`NCT03296033` - Residual Anti-Xa Activity After Last Treatment Dose of Enoxaparin	Phase 4
Withdrawn	`NCT02603900` - Adductor Canal Catheter vs Local Infiltration of Analgesia for Total Knee Arthroplasty	Phase 4
Completed	`NCT03666845` - Plasma Ropivacaine Concentrations After Sciatic Nerve Block in Patients With Chronic Kidney Disease
Completed	`NCT03394807` - LaGRA Trial in Laparoscopic Cholecystectomy	Phase 4
Completed	`NCT05558449` - Impact of Virtual Reality Hypno-sedation on Functional Recovery and Anxiety in Foot Surgery With Regional Anesthesia	Phase 4
Completed	`NCT02433561` - Intra- Versus Extraplexic Catheter Placement for Continuous Interscalene Brachial Plexus Block	Phase 4
Recruiting	`NCT06147401` - Comparison of PENG Associated With LFCN Block Versus FICB for Multimodal Analgesic Management in THA	N/A

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.

Efficacy of SAP Block Versus ESP Block in VATS Surgery — ESPvSAP

Clinical Trial Summary

Clinical Trial Description

Study Design

Related Conditions & MeSH terms