Anaesthesia, perioperative medicine and pain management Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged =18 years 2. Elective open thoracotomy 3. Able to understand the study information and provide written informed consent 4. American Society of Anaesthesiologists physical status I, II or III 5. Not known to be pregnant
Exclusion criteria
Exclusion criteria: 1. Contraindication to TEB or PVB e.g. known allergy to local anaesthetics 2. Infection near the proposed puncture site 3. Coagulation disorders 4. Thoracic spine disorders 5. Chest wall resection 6. Emergency thoracic surgery 7. Previous thoracotomy 8. Likely inability to comply with completion of the study questionnaires
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To establish the number of patients randomised as a proportion of those eligible to enter the study. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Assessment of effectiveness of patient identification and screening processes 2. Identification and analysis of any reasons for failure to recruit patients 3. Examination of the educational materials provided to surgeons and anaesthetists to ensure they are fit for purpose 4. Assessment of willingness of surgeons and anaesthetists to participate 5. Assessment of the effectiveness of the randomisation process of patients 6. Assessment of sustainability of single-blinding of patients to treatment allocation 7. Evaluation of robustness of data collection processes during patient?s hospital stay 8. The proportion of patients followed up at six months 9. Acceptability to and impact on patients of the interventions 10. Assessment of trial processes, including the choice of outcome measures and impact on staff 11. Derivation of the preliminary data from clinical outcome measures to inform the sample size calculation for the substantive study | — |
Countries
England, United Kingdom