Pain, Postoperative
Conditions
Keywords
Paravertebral Block, Regional Anesthesia, Anesthetics Local, Ropivacaine, Sufentanil, Pain Postoperative, Chronic Pain, Thoracic Surgery Video-Assisted.
Brief summary
The use of paravertebral catheters is a recommended technique to achieve postoperative analgesia after thoracic surgery. To date there is no consensus on which drug regime (local anesthetics with or without opioid) is best. The aim of this prospective clinical trial is to determine wether the use of ropivacaine and sufentanil injected through a thoracic paravertebral catheter results in decreased acute postoperative pain compared with plain ropivacaine in patients after thoracoscopic lung surgery.
Interventions
Sufentanil at 0.25 µg/ml added to ropivacaine at 2 mg/ml at a perfusion rate of 0.15 ml/kg/h for continuous paravertebral block over 48 hours
Ropivacaine at 2 mg/ml at a perfusion rate of 0.15 ml/kg/h for continuous paravertebral block over 48 hours
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient scheduled for planned video-assisted thoracic surgery * Patient that consent to participate * Planned placement of paravertebral catheter * Patient having a medical insurance
Exclusion criteria
* Patient less than 18 years * Refusal to participate * Known pregnancy * Known allergies to local anesthetics, sufentanil and /or to iodinated contrast material * Intolerance to sufentanil and/or morphine * Chronic consumption of opiates * Preoperative chronic pain syndrome * Patient having a contraindication to placement of paravertebrtal catheter
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| morphine consumption during the first 48 hours | 48 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Acute pain | 48 hours | using the Visual Analogue Scale (VAS) score |
| Biological measurements | 48 hours | Oxygen saturation, level of sedation, respiratory rate, nausea, vomiting, itching, urine retention, blood pressure, heart rate |
| Patient satisfaction | 48 hours | — |
| Chronic pain | 3 and 6 monthes | assessed with the Saint-Antoine Pain Questionnaire (French version of the Mac Gill Pain Questionnaire) and the DN4 questionnaire. |
Countries
France