Effect of Continue RISS Block in Thoracotomy

Postoperative Pain Clinical Trial

Official title:

Effect of Continue Rhomboid Intercostal and Subserratus Plane Block in Thorocotomy

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04443556
• Other study ID #: RISS THORACOTOMY
• Status: Completed
• Phase: N/A
• Start date: August 31, 2020
• Est. completion date: February 15, 2021

Study information

• Verified date: April 2021
• Source: Konya Training and Research Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Thoracotomy is one of the most painful surgery. Acute postoperative pain increases postoperative morbidity and prolongs hospital stay and also may lead to developing a chronic pain syndrome. This study aimed to assess the efficacy of continuous rhomboid intercostal and subserratus plane (RISS) block by inserting a catheter under direct vision for controlling acute thoracotomy pain.

Description:

Before the closure of the thoracotomy, the surgeon will place two catheters through a Tuohy needle into fascial planes for continue RISS block. First catheter tip will be place towards the interfascial planes between the rhomboid major and intercostal muscles and the second catheter tip will be place in subserratus fascial plane. Continue local anesthetics will be injected through the catheters for 48 hours.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: February 15, 2021
• Est. primary completion date: January 30, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Patients over 18 years of age undergoing elective thoracic surgery

• American Society of Anesthesiologists (ASA) physical status I-III grade

Exclusion Criteria:

• Patient refusal

• History of psychiatric and cognitive disorders.

• Patients allergic to the drugs used in the study

• Emergent surgery

Related Conditions & MeSH terms

• Pain, Postoperative
• Postoperative Pain
• Thoracotomy

Intervention

Drug:
• Tramadol
Before the closure of the thoracotomy, the surgeon will place two catheters through a Tuohy needle into fascial planes for continue the RISS block. First catheter tip will be placed towards the interfascial planes between the rhomboid major and intercostal muscles and the second catheter tip will be placed in subserratus fascial plane. Continue local anesthetics will be injected through the catheters for 48 hours. Also an IV patient-controlled analgesia device containing tramadol will be provided. Tramadol consumptions and postoperative numeric rating scale (NRS) scores for pain will be recorded.

Other:
• IV PCA
An IV patient-controlled analgesia device containing tramadol will be provided. Tramadol consumptions and postoperative numeric rating scale (NRS) scores for pain will be recorded.

Locations

Country	Name	City	State
Turkey	Konya Education and Training Hospital	Konya

Sponsors (1)

Lead Sponsor	Collaborator
Konya Training and Research Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	postoperative pain	Numeric rating scale (NRS) NRS use numbers to rate pain from 0 (no pain) to 10 (worst pain).	postoperative 48 hour
Secondary	Analgesic consumption	Total opioid consumption after the surgery	Postoperative 48 hour