Pain, Postoperative Clinical Trial
Official title:
The Effects of Thoracic Nerve Blocks on Postoperative Pain, Respiratory Function and Recovery in Patients Undergoing Thoracoscopic Surgery
This study aims to study the analgesic and respiratory effects of the erector spinae plane block for patients undergoing video-assisted thoracic surgery (VATS) or robotic assisted thoracic surgery (RATS).
A total of 120 subjects will be randomized into three groups (30 per group). Arm A: IV PCIA
Arm B: IV PCIA + ultrasound guided Erector spinae block (ESPB, Single shot of 30ml of 0.5%
solution of Naropin [Ropivacaine]) Arm C: IV PCIA + multilevel intra-thoracic intercostal
nerve block (ICB, Single shot of 30ml of 0.5% solution of Naropin [Ropivacaine]) PCIA pumps
for all study cohorts will be programmed according to our institution's standard protocol
(Dipidolor [Piritramide] bolus: 2mg, interval: 7 min, max 4h dose: 30mg). The erector spinae
block will be placed preoperatively, the intercostal block will be placed at the beginning of
the procedure. All patients will receive standard postoperative care. The patients will be
blinded for the study arm.
The primary endpoint of this study is postoperative pain and will be recorded by using the
numerical rating scale (NRS) pain score. Pain scores will be measured by the investigator at
rest and during coughing. Opioid consumption will be monitored and registered for.
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