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NCT04886375 Clinical Trial

Comparison of USG- Guided Modified Pectoral Nerve Block and Erector Spinae Plane Block on Postoperative Analgesia in Video Assisted Thoracoscopic Surgery

Postoperative Analgesia Clinical Trial

Official title:
The Effect of USG- Guided Modified Pectoral Nerve Block and Erector Spinae Plane Block on Postoperative Analgesia in Video Assisted Thoracoscopic Surgery

Clinical Trial Details — Status: Completed

Administrative data
NCT number NCT04886375
Other study ID # 2019-124
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date April 1, 2019
Est. completion date April 1, 2020

Study information
Verified date May 2021
Source Bakirkoy Dr. Sadi Konuk Research and Training Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study aims to compare the effects of the erector spinae plan block (ESP) and modified pectoral nerve block (PECS II) on postoperative analgesia in patients undergoing video- assisted thoracoscopic surgery (VATS).

Description:

55 patients (ASA I-II-III) between 18 and 65 years of age, who were to undergo VATS, were randomized and divided into two groups. (26 patients in each of the PECS and ESP groups). Three patients were excluded from the study because thoracotomy was performed. ESP block was performed for ESP group and a modified pectoral nerve block was performed in the PECS group. Postoperative analgesia was provided by intravenous morphine infusion using a patient-controlled analgesia device. Postoperative 24-hour total morphine consumption and duration of analgesia were the primary outcome measure. Perioperative remifentanil use, numeric rating scale values, time of the first analgesic request, and additional analgesic consumption were recorded.

Recruitment information / eligibility
Status Completed
Enrollment 55
Est. completion date April 1, 2020
Est. primary completion date April 1, 2020
Accepts healthy volunteers No
Gender All
Age group 18 Years to 65 Years
Eligibility Inclusion Criteria: - Ages of 18-65 - Patients who will undergo VATS - ASA I-II-III patients Exclusion Criteria: - Clinically diagnosis of spinal or chest wall deformity or pathology - Clinically known local anesthetic allergy - Morbid obesity (body mass index>40 kg m2) - Clinically diagnosis of opioid, alcohol and substance dependence - Clinically diagnosis of psychiatric disease - Coagulopathy - Patients with ASA IV-V

Study Design

Related Conditions & MeSH terms

Intervention

Procedure:
• erector spina plane block
The investigators performed erector spina plane block to that patient group for postoperative analgesia
• modified pectoral nerve block
The investigators performed modified pectoral block to that patient group for postoperative analgesia

Locations
Country Name City State
Turkey Bakirkoy Dr. Sadi Konuk Research and Training Hospital Istanbul Bakirkoy

Sponsors (1)
Lead Sponsor Collaborator
Bakirkoy Dr. Sadi Konuk Research and Training Hospital

Country where clinical trial is conducted

Turkey, 

Outcome
Type Measure Description Time frame Safety issue
Primary Postoperative 24-hours total morphine consumption This will be measured only one time by pca device at the 24th hour after surgery. 24 hours postoperatively
Secondary NRS scores of patients NRS at 0, 1, 2, 4, 8, 12 ve 24th hours 24 hours postoperatively
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