postoperative pain following thoracoscopic surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Patient over 18 years old - video-assisted thoracospic surgery with 3 trocars, Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 120 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 36
Exclusion criteria
Exclusion criteria: - Minor patient - Refusal of locoregional analgesia - Patient with a history of chronic pain under opioids or patients with impossible pain assessment - Substance addiction - Surgical procedure with thoracic nerve damage (especially pleural abrasion) - Thoracotomy surgical procedure, assisted video mini-thoracotomy - Contraindication to locoregional analgesia (allergy, skin condition)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: to compare efficiency of serratus plain block versus paravertebral block versus serratus plain block and paravertebral block for postoperative pain following thoracoscopic surgery;Secondary Objective: are to compare between the 3 groups: • The visual analog scale: END at rest and postoperative cough at H1, H3, H6, D1, D2, D3, and at discharge from hospital. • Postoperative opioid consumption • Failure rate of locoregional analgesia evaluated in the operating room • Respiratory morbidity (duration of drainage, hospitalization and rate of pneumonitis) • Evaluation of postoperative chronic pain in control consultation at 6 months of intervention ;Primary end point(s): Pain visual analog scale (VAS) at cougthing evaluated at H0 following thoracoscopic surgery;Timepoint(s) of evaluation of this end point: day 1 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Analog visual scale: END at rest and at postoperative cough at H1, H3, H6, D1, D2, D3, and at discharge from hospital, informed according to the usual computer protocol of the establishment by a qualified nurse state, in the recovery room and in the thoracic surgery department. • Use of opioid therapies during the period of hospitalization • Failure rate of locoregional analgesia assessed in SSPI • Duration of thoracic drainage. • Duration of hospitalization. • Respiratory morbidity - rate of pneumonitis. • Evaluation of postoperative chronic pain in control consultation at 6 months of intervention using the following secondary endpoints: Evaluation of the pain by NDS and DN4 + NeuPSIG (neuropathic pain) scale and evaluation of the consumption of antalgic therapies ;Timepoint(s) of evaluation of this end point: day 1, 2, 3 and at 6 months | — |
Countries
France
Contacts
CHU Amiens-Picardie