Effect of Two Different Plane Blocks on Post-thoracotomy Pain

Pain, Postoperative Clinical Trial

Official title:

Effects of Ultrasound-guided Continuous Erector Spina Plane Block and Continuous Serratus Anterior Plane Block on Post-thoracotomy Pain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05083832
• Other study ID #: E.Kurul-E1-21-1863
• Status: Completed
• Phase: N/A
• Start date: June 9, 2021
• Est. completion date: February 20, 2024

Study information

• Verified date: March 2024
• Source: Atatürk Chest Diseases and Chest Surgery Training and Research Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Thoracotomy is recognized as one of the most painful surgical procedures. This increases the frequency of postoperative pulmonary complications. Erector Spinae Plane Block (ESPB) and Serratus Anterior Plane Block (SAPB) are more superficial, easier to perform, and less likely to have complications. In addition, ESPB and SAPB applications are increasing in patients who underwent thoracotomy and thoracoscopic surgery.

In this study, the investigators aimed to evaluate the effect of continuous ESPB and continuous SAPB via US-guidance on post-thoracotomy pain.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: February 20, 2024
• Est. primary completion date: January 9, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• 18 to 65 years old

• ASA physical status I-II-III

• BMI 18 to 30 kg/m2

• Elective thoracotomy surgery

Exclusion Criteria:

• Patient refusing the procedure

• Emergency surgery

• History of chronic opioid or analgesic used

Related Conditions & MeSH terms

• Erector Spinae Plane Block
• Pain, Postoperative
• Serratus Anterior Plane Block
• Thoracotomy

Intervention

Procedure:
• Continuous Erector Spina Plane Block vs Continuous Serratus Anterior Plane Block
Two different catheter techniques with same doses local anesthetic infusion

Locations

Country	Name	City	State
Turkey	Ankara Atatürk Chest Disease and Chest Surgery Training and Research Hospital	Kecioren	Ankara

Sponsors (1)

Lead Sponsor	Collaborator
Atatürk Chest Diseases and Chest Surgery Training and Research Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain scores	Pain will be assessed at rest and while coughing using the visual analog scale on a scale from 0 (no pain) to 10 (worst pain). Pain assessment will be done at 1st, 2nd, 4th, 8th, 16th, 24th, 48th and 72nd hours after surgery.	72 hours after surgery
Secondary	Morphine consumption	Morphine consumption for 24 hours will be recorded	24 hours after surgery
Secondary	Side effects	Side effects, such as allergy to local anesthetics, hypotension, nausea/vomiting, itching, headache, and sweating will be recorded.	72 hours after surgery