Erector Spinae Plane Block Clinical Trial
Official title:
Effect of Different Patient's Positions on Postoperative Analgesia of Ultrasound-guided Erector Spinae Plane Block
The goal of this clinical trial is to learn if patients remaining different positions for 30min after receiving ultrasound-guided erector spinae plane block influenced the postoperative analgesia. The main questions it aims to answer are: Does patients maintain prone position or supine position for 30 min after ESPB provided superior analgesic effect than in the supine position? Is ESPB not inferior to PVB considering postoperative opioid consumption ? Researchers will compare the opioid consumption 24h postoperatively among the patients remaining supine, lateral, prone position after ESPB and PVB to see if patients maintaining lateral or prone position provided excellent postoperative analgesia. Participants will: Maintaining supine lateral or prone position for 30 min following ESPB or receiving PVB. Receiving postoperative NRS and QoR assessment
Status | Not yet recruiting |
Enrollment | 120 |
Est. completion date | December 1, 2026 |
Est. primary completion date | April 1, 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility | Inclusion Criteria: Patients undergoing Video-assisted Thoracoscopic Surgery under elective general anaesthesia were selected, regardless of sex, age 18-80 years, BMI: 18-30 kg.m-2, ASA classification I-III. Exclusion Criteria: 1. Allergy to the study drug or allergy to local anaesthetics; 2. History of opioid abuse; 3. Previous nerve block puncture with puncture site infection; 4. Peripheral neuropathy; 5. Coagulation abnormalities, defined as prothrombin time or partial activation time prothrombin time exceeding standard values or international normalised ratio (INR) = 1.4, or platelet count = 70 x 109 L-1. |
Country | Name | City | State |
---|---|---|---|
China | Nanjing First Hospital | Nanjing | Jiangsu |
Lead Sponsor | Collaborator |
---|---|
Nanjing First Hospital, Nanjing Medical University |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Postoperative Oxycodone dosage | Cumulative oxycodone dosage 24 hour postoperatively | 24 hour postoperatively | |
Secondary | Loss to cold sensation of skin | The sensation to cold was assessed with ice. The area include the anterior chest wall (midclavicular line), lateral chest wall (posterior axillary line), and posterior chest wall (paraspinal zone) by a researcher who was blinded to group allocation. | 30 minute after block | |
Secondary | NRS(Numeric Rating Scales) score | Postoperative 1, 3, 6, 12, 24, 48 hour NRS (Numeric Rating Scales) score. Numerical Rating Scale (NRS): This scale is composed of 11 numbers from 0 to 10, with higher numbers increasing the severity of pain. | Postoperative 1, 3, 6, 12, 24, 48 hour | |
Secondary | Adverse reaction | This includes dizziness, nausea, vomiting, etc. | 24, 48 hour postoperatively | |
Secondary | QoR-15 score(Quality of Recovery,QoR) | Postoperative QoR-15(Quality of Recovery) score was used to evaluate the quality of early postoperative recovery on postoperative day 1 and 2. . The QoR-15 score(Quality of Recovery,QoR) included 5 dimensions including emotional state, physical comfort, psychological support, physical independence and pain, with a total of 15 items. Each item scored from 0 to 10, with higher scores being better. | Day 1 and 2 postoperatively | |
Secondary | Opioid dosage | Postoperative opioid consumption dosage. | 1, 3, 6, 12, 24, 48 hour postoperatively |
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