Thoracic Surgery Clinical Trial
Official title:
Intercostal Cryoanalgesia for Management of Acute Postoperative Pain Following Video-assisted Thoracoscopic Lung Cancer Resection
Intercostal cryoanalgesia is a technique that allows extensive and prolonged analgesia of the hemithorax. The aim of this study is to demonstrate the efficacy of intercostal cryoanalgesia as an adjunct to a single-injection paravertebral block for the management of acute thoracic pain after VATS lung resection surgery.
VATS lung resection is associated with a high incidence of moderate to severe acute thoracic pain. In the postoperative period, optimal analgesia may facilitate recovery, lead to higher patient satisfaction, and lower postoperative complications. Regional analgesia techniques are usually recommended for VATS, and the paravertebral block is often used. However, the duration of the paravertebral block is short (6 to 24 hours), and prolongation of the effect requires the placement of a paravertebral catheter and local anesthetic infusion into the paravertebral space. At our institution, patients with VATS lung resections are often discharged home 24-48 hours after surgery. Intercostal cryoanalgesia has an onset of about 12 hours, which coincides with the weaning of the single-injection paravertebral block. Analgesia is usually prolonged over several weeks, does not require catheter placement, and is not associated with hemodynamic side effects. These characteristics may allow rapid recovery and safe home discharge after VATS lung resection. The aim of this study is to demonstrate the efficacy of intercostal cryoanalgesia as an adjunct to a single-injection paravertebral block for the management of acute thoracic pain after VATS lung resection surgery. ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT04865874 -
GDT-PPV Protocol in Thoracic Surgery
|
N/A | |
Active, not recruiting |
NCT02715271 -
Study of TB Lesions Obtained in Therapeutical Surgery
|
||
Completed |
NCT02919267 -
Physiology of Lung Collapse Under One-Lung Ventilation: Underlying Mechanisms
|
N/A | |
Completed |
NCT02964026 -
Study of Clinical Outcomes Associated With the Pulmonary Artery Catheter (PAC) in Cardiac Surgery Patients
|
N/A | |
Recruiting |
NCT03165539 -
Cerebral Oxygen Desaturation and Post-Operative Delirium in Thoracic Surgical Patients
|
||
Terminated |
NCT01320475 -
Epidural Levobupivacaine-sufentanil Versus Epidural Levobupivacaine and Intravenous Ketamine
|
Phase 4 | |
Recruiting |
NCT05045196 -
Health-promoting Family Conversations and Open Heart Surgery
|
N/A | |
Completed |
NCT04507958 -
Electronic Stethoscope Use During Intubation in Full Personal Protective Equipment
|
||
Recruiting |
NCT05060302 -
Prognosis of Right Ventricular Dysfunction Assessed by Speckle Tracking in Postoperative Thoracic Surgery
|
N/A | |
Completed |
NCT05667467 -
The Effect of Care Bundle in Heart Surgery
|
N/A | |
Not yet recruiting |
NCT03275428 -
THRIVE and Non-intubated Thoracic Surgery
|
N/A | |
Not yet recruiting |
NCT05482230 -
Application of Tracheal Intubation in Lateral Position in Thoracic Surgery
|
N/A | |
Enrolling by invitation |
NCT04429009 -
A Randomized Control Trial of ZEPHYRx Gamified Incentive Spirometry Compared to Traditional Spirometry
|
N/A | |
Not yet recruiting |
NCT03628040 -
Erector Spinae Plane Block for Video-assisted Thoracoscopic Surgery
|
Phase 3 | |
Recruiting |
NCT03300622 -
Assessment in Patients After Thoracic Surgery
|
N/A | |
Completed |
NCT00981474 -
Cerebral Autoregulation Monitoring During Cardiac Surgery
|
N/A | |
Completed |
NCT03309280 -
Influence of Different Parameters on Extubation Time After Cardiac Surgery.
|
||
Recruiting |
NCT03820700 -
Using Hypnosis and Virtual Reality During Pre and Postoperative Cardiovascular Surgery.
|
N/A | |
Completed |
NCT03768193 -
Deep Serratus Anterior Plane Block vs Surgically-placed Paravertebral Block for VATS Surgery
|
N/A | |
Recruiting |
NCT04609228 -
Cardiac Surgery Outcomes in Blood-transfusion Acceptors and no Acceptors
|