Postoperative Pain Clinical Trial
Official title:
Comparison of the Analgesic Effect Between Ultrasound-Guided Serratus Anterior Plane Block and Intercostal Nerve Block After Single Port Video-Assisted Thoracoscopic Surgery in Primary Spontaneous Pneumothorax
A prospective randomized controlled study was undertaken to compare the postoperative analgesic effect between ultrasound-guided serratus anterior plane block and intercostal nerve block after single port video-assisted thoracoscopic surgery with primary spontaneous pneumothorax.
Post-thoracotomy pain is one of the most notorious postsurgical pains that one can
experience. The pain is known to last for an extensive period of time with significantly high
intensity.
In field of thoracic surgery, video-assisted thoracoscopic surgery has been played an
important role in alleviating the postoperative pain. Furthermore, single-port thoracoscopic
surgery, which reduces the number of surgical incision, is increasingly carried out by many
institutions world widely.
In field of anesthesiology, various attempts to alleviate post-thoracotomy pain have been
tried along advancement of thoracic surgical techniques. It began with postoperative
medication of non-steroid anti-inflammatory drugs, opioids and progressed into
implementations such as local analgesia, thoracic epidural block, paravertebral block,
intercostal nerve block, interpleural block and serratus anterior plane block.
Many analgesic methods have been applied to alleviate postoperative pain in patients who have
undergone thoracoscopic surgeries. However, there are no prospective randomized controlled
studies between intercostal nerve block and serratus anterior plane block in single port
video-assisted thoracoscopic surgeries. The main purpose of this study is to compare and
analyze the effects between conventional intercostal nerve block and newly introduced
serratus anterior plane block in primary spontaneous pneumothorax patients who have undergone
single port video-assisted thoracoscopic wedge resection. This prospective study will
discover the efficacy and differences between two methods.
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