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NCT05242328 Clinical Trial

Postoperative Analgesia y After Uniportal Video-assisted Thoracoscopic Surgery

Post-operative Pain Clinical Trial

Official title:
Comparison of Surgical Thoracoscopic Intercostal Nerve Block and Ultrasound-guided Erector Spinae Plane Block for Postoperative Analgesia and Enhanced Recovery After Uniportal Video-assisted Thoracoscopic Surgery: a Double-blinded, Randomized Controlled Trial

Clinical Trial Details — Status: Recruiting

Administrative data
NCT number NCT05242328
Other study ID # A-ER-110-293
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date January 5, 2021
Est. completion date December 26, 2024

Study information
Verified date December 2022
Source National Cheng-Kung University Hospital
Contact Shuoying Dai, MD
Phone +886-6-2353535
Email hsnu_10@yahoo.com.tw
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Ultrasound-guided erector spinae plane block (ESPB) is an interfascial blockade during thoracic anesthesia, first described by Forero in 2016, and is highlighted by technically feasibility and less complication rate. The patient is placed as decubitus position. The anesthesiologists use echo to identify the ipsilateral transverse process at T5 level, and insert the needle to 2-3 cm lateral to the spinous process until contact the transverse process. Then the injected local anesthetic will penetrate via erector spinae muscle to paravertebral space to affect and relieve pain.

Recruitment information / eligibility
Status Recruiting
Enrollment 40
Est. completion date December 26, 2024
Est. primary completion date December 26, 2024
Accepts healthy volunteers No
Gender All
Age group 20 Years and older
Eligibility Inclusion Criteria: - adult patients, over 20 years old, u - undergoing elective uniportal VATS lobectomy. Exclusion Criteria: - patient refusal, - body mass index > 35 kg/m2, - American society of anesthesiologists (ASA) grade above 3, - contraindication to nerve block, - allergy to analgesic agents, - regular opioid used for chronic pain prior to this time surgery, - conversion to thoracotomy or VATS procedure, - postoperative intubation, - postoperative intensive care unit admission.

Study Design

Related Conditions & MeSH terms

Intervention

Procedure:
• Ultrasound-guided erector spinae plane block
Ultrasound-guided erector spinae plane block
• surgical thoracoscopic intercostal nerve block
surgical thoracoscopic intercostal nerve block

Locations
Country Name City State
Taiwan National Cheng Kung University Hospital Tainan

Sponsors (1)
Lead Sponsor Collaborator
National Cheng-Kung University Hospital

Country where clinical trial is conducted

Taiwan, 

Outcome
Type Measure Description Time frame Safety issue
Primary Visual analogue scale post-op VAS score, 0-10, the higher means painful, and "0" point no pain. post-op 2 days
Primary accumulated morphine usage dose accumulated morphine usage dose post-op 2 days
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