Effect of Intercostal Nerve Block With Ropivacaine Combined With Mecobalamine on Chronic Pain After Thoracic Surgery

Postoperative Pain Clinical Trial

Official title:

Effect of Intercostal Nerve Block With Ropivacaine Combined With Mecobalamine on Chronic Pain After Thoracic Surgery -- a Single-center Randomized, Double-blind Controlled Trial

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT04217213
• Other study ID #: XYFY2019-KL169-01
• Status: Not yet recruiting
• Phase: N/A
• Start date: January 1, 2020
• Est. completion date: November 30, 2020

Study information

• Verified date: January 2020
• Source: Xuzhou Medical University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This project intends to investigate the effects of intercostal nerve block with ropivacaine combined with mecobalamin on chronic post-surgical pain (CPSP) in thoracic postoperative patients. Related clinical characteristics of postoperative chronic pain. The results of the study provide clinicians with a simple and inexpensive new method of preventing CPSP, in order to prevent the occurrence of CPSP and reduce the incidence of CPSP, thereby reducing CPSP to patients and their families, hospitals. And public resources.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 124
• Est. completion date: November 30, 2020
• Est. primary completion date: June 30, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. Age =18 years old, conscious;

2. ASA class ? ~ ?;

3. Thoracoscopic lobectomy was proposed;

4. The han nationality;

5. Native speaker of Chinese;

6. Agree to participate in this study and sign the informed consent.

Exclusion Criteria:

1. Patients allergic to meccobalamin or ropivacaine;

2. Patients with previous history of chest surgery;

3. Patients with tumor invasion of chest wall, abscess, tumor intercostal neuropathy or pathological rib fracture;

4. Patients with a history of analgesic addiction or abuse, epilepsy, one or other neurological disease;

5. Diabetic patients;

6. Patients who need other drugs for pain relief but have not completed treatment or have completed treatment.

Related Conditions & MeSH terms

• Chronic Pain
• Postoperative Pain

Intervention

Procedure:
• Intercostal nerve block
In the experimental group, the surgeons used 0.5% ropivacaine combined with mecobalamine (0.5mg) before the operation to perform intercostal nerve block in the operating incision, closed thoracic drainage incision and one intercostal nerve block in each upper and lower costal cavity, and injected 5ml in each intercostal nerve block.In the control group, surgeons used 0.5% ropivacaine alone before the operation to perform intercostal nerve block through the operating incision, closed thoracic drainage incision and one intercostal nerve block in each upper and lower costal cavity. 5ml was injected into each intercostal nerve block.

Locations

Country	Name	City	State
China	Department of Anesthesiology of the Affiliated Hospital of Xuzhou Medical University	Xuzhou	Jiangsu

Sponsors (1)

Lead Sponsor	Collaborator
Xuzhou Medical University

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Incidence of chronic pain after chest surgery	The incidence of chronic pain after chest surgery was measured by NRS(numeric rating scales) at the 3rd month after surgery.For pain evaluation,we used the 11 point numeric rating scale(NRS),where an NRS scores of 0 represented "no pain" and a score of 10 represented "worst pain imaginable".	At the 3rd month after surgery
Secondary	The incidence of acute pain after chest surgery	An NRS score was performed 24 to 72 hours after surgery to determine the incidence of acute pain after thoracic surgery.For pain evaluation,we used the 11 point numeric rating scale(NRS),where an NRS scores of 0 represented "no pain" and a score of 10 represented "worst pain imaginable".	24 to 72 hours after surgery
Secondary	Incidence of postoperative neuropathic pain	The incidence of neuropathic pain was measured by DN4 scale at the 3rd month after surgery.Douleur Neuropathique 4 (DN4) is a screening questionnaire to help identify neuropathic pain (NP) in clinical practice and research,where a DN4 scores greater than or equal to 4 represented the patients had "postoperative neuropathic pain".	At the 3rd month after surgery
Secondary	Incidence of other postoperative complications	Postoperative complications included that pulmonary complications, delirium, intestinal obstruction, pulmonary embolism, acute respiratory failure, acute renal failure, incision infection, cerebrovascular accident and other complications related to surgery.	At the 3rd month after surgery
Secondary	Incidence of readmission within 30 days after surgery	The incidence and the reason of readmission within 30 days after surgery was obtained through postoperative follow-up.	At the 30 days after surgery
Secondary	Incidence of death within 30 days after surgery	The incidence and the reason of death within 30 days after surgery was obtained through postoperative follow-up	At the 30 days after surgery
Secondary	Length of stay	The total length of hospital stay.	At the 3rd month after surgery
Secondary	Cost of stay	The total cost of hospital stay.	At the 3rd month after surgery
Secondary	icu length of stay	The number of hours of postoperative stay in ICU.	At the 3rd month after surgery
Secondary	Incidence of secondary operation	Whether the patient has a second operation and the reason and the incidence of this operation.	At the 3rd month after surgery