Pain control after videothoracoscopic major resection Surgery Pain control after video thoracoscopic major resection
Conditions
Interventions
Current intervention as of 15/02/2022:
Participants are randomised to one of two groups using opaque envelopes.
Control group: Participants receive an intercostal block with Levobupivacaine 0.5%, wi
Sponsors
Donostia University Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Undergoing to lung resection (lobectomies, bilobectomies, or segmentectomies) by videothoracoscopy 2. Age 18 years and over
Exclusion criteria
Exclusion criteria: 1. Age <18 years 2. History of drug abuse 3. Patients with chronic pain treated with opioids 4. Any contraindication for the accomplishment of intradural or intercostal block (hemorrhagic diseases, recent systemic or local infections, allergy to local anesthetics or morphine, CNS expansive processes, hydrocephalus or alterations of the lumbar spine that contraindicate the lumbar puncture) 5. Patients who do not want to participate or mentally not competent 6. Surgeries converted to thoracotomy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain at rest and with cough (0 h, 6 h, 12 h, 24 h, 48 h, 6 months and 12 months) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Sedation is measured using the Richmond agitation sedation scale 24 hours after surgery 2. Nausea or vomiting is measured by patient interview and medical and nursery record review 24 and 48 hours after surgery 3. Pruritus is measured by patient interview and medical and nursery record review 24 and 48 hours after surgery 4. General satisfaction of pain management is measured by patient interview at the time of discharge 5. Respiratory complications (atelectasis requiring BCF, pneumonia requiring antibiotic, respiratory insufficiency requiring TBI) are measured by patient interview and medical record review during postoperative days 6. Cardiac complications (ACxFA, AMI, ICC) are measured by by patient interview and medical record review during postoperative days 7. Urinary retention with resondation or impossibility of urinary catheter extraction is assessed by patient interview and medical record review during postoperative days 8. Days to ambulation is measured by patient interview and medical and nursery record review during postoperative days 9. Mortality is measured using medical record review at 90 days | — |
Countries
Spain
Contacts
Public ContactSilvia González Santos
Outcome results
None listed