Postoperative Analgesis for Pain Management After Thoracotomy

Postoperative Pain Clinical Trial

Official title:

Comparison of Thoracal Paravertebral Block and Serratus Plan Block in Pain Management After Thoracotomy

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06177652
• Other study ID #: KAEK/10.bI.02
• Status: Recruiting
• Phase: N/A
• Start date: June 1, 2022
• Est. completion date: June 15, 2024

Study information

• Verified date: June 2024
• Source: Kocaeli University
• Contact: Nur Nazire Yucal, MD
• Phone: +902623038248
• Email: n_395[@]hotmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Thoracotomy is among the most painful surgical procedures and can cause severe pain. Postoperative pain causes many complications. Therefore, pain management is important in patients undergoing thoracotomy. For this purpose, systemic analgesics are used along with ultrasound-guided nerve blocks in thoracotomy pain. The effectiveness of thoracic paravertebral block and serratus plane block in the treatment of post-thoracotomy pain will be evaluated by comparing their effectiveness and complications on postoperative pain. Since the epidural spread of the thoracic paravertebral block is more effective, the effectiveness of postoperative pain relief will be more effective

Description:

Thoracotomy is among the most painful surgical procedures and can cause severe pain. This pain causes postoperative complications in patients who have thoracotomy surgery. Uncontrolled pain can cause respiratory and thromboembolic events. Therefore, effective pain management is important in patients undergoing thoracotomy. Investigators aim to compare the analgesic effectiveness and complications of thoracic paravertebral block and serratus anterior plane block in relieving thoracotomy pain, which is one of the most painful surgical procedures. It is aimed to compare the effectiveness and complications of thoracic paravertebral block and serratus plane block in postoperative pain control after thoracotomy. Providing pain control reduces postoperative complications and reduces hospital stay, which increases patient comfort and reduces costs. In this research, postoperative morphine consumption after block applications will be compared, and patients' analgesic needs will be evaluated according to the participants' VAS score. Post-operative 3rd, 6th, 9th, 12th, 24th. Morphine consumption will be evaluated by monitoring the hours. It will be evaluated whether there is a need for additional analgesics. During the operation, the patient's heart rate, blood pressure, saturation and temperature variable values will be closely monitored. Standard monitoring methods will be used when examining these parameters.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 52
• Est. completion date: June 15, 2024
• Est. primary completion date: March 1, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 75 Years

Eligibility

Inclusion Criteria:

• 18-75 aged patients

• American Society of Anesthesiologists Classification (ASA) I-II-III patients

• patients who scheduled elective thoracic surgery

Exclusion Criteria:

• American Society of Anesthesiologists Classification (ASA) IV-V patients

• patients with coagulopathy

• patient with infection at the injection site

Related Conditions & MeSH terms

• Analgesia
• Pain, Postoperative
• Postoperative Pain

Intervention

Other:
• Paravertebral Block
Ultrasound (US) -guided paravertebral block (PVB) with 20 ml 0.5 % bupivacaine will performe preoperatively to all patients in the PVB group.
• Serratus Plane Block
Ultrasound (US) -guided serratus plane block (SPB) with 20 ml 0.5 % bupivacaine will performe preoperatively to all patients in the SPB group.

Locations

Country	Name	City	State
Turkey	Kocaeli University	Kocaeli
Turkey	Nur Nazire Yucal	Kocaeli

Sponsors (1)

Lead Sponsor	Collaborator
Kocaeli University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Morphin consumption	Patient in both groups will provide with intravenous patient-controlled analgesia device containing morphine for postoperative analgesia	during postoperative 24 hour
Secondary	Visual Analogue Scale (VAS)	Visual Analogue Scale (VAS) requires the patient to rate their pain on a defined scale.For example , 0-10 where 0 is no pain and 10 is the worst pain imaginable	during postoperative 24 hour