Regional Anesthesia Clinical Trial
Official title:
SERRATHOR Trial : Analgesic Effect of Serratus Plane Block After Video-Assisted Thoracoscopic Surgery Lobectomy
Pain after thoracic surgery remains a challenge for anesthetists. Although VATS for lobectomy
is associated with fewer complications compared to thoracotomy, pain after VATS needs to be
treated with opioids. Opioids may lead to PONV, respiratory depression, sedation and
pruritus. As part of multimodal analgesia and opioids sparing, several local regional
techniques has been described: paravertebral block, thoracic epidural analgesia, intercostal
block. To date, there is no gold standard for regional anesthesia after VATS.
Serratus plane block is a local regional technique, recently described for analgesia after
breast surgery and ribs fracture. In our hospital center, since 2016, we used the Serratus
plane block for patients scheduled for lobectomy VATS : a local retrospective trial showed
that SPB was associated with a lower consumption of morphine.
The purpose of this randomized controlled double blinded study is to evaluate the analgesic
effect of the Serratus plane block, added to a general anesthesia on post operative pain
control after VATS lobectomy.
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