Nerve Block, Video-Assisted Thoracic Surgery
Conditions
Brief summary
Video-assisted thoracoscopic surgery (VATS) provides an opportunity to penetrate the thoracic cavity by video through an incision into the chest wall and facilitate surgical operation of lung pathologies.Various regional methods of anesthesia are currently being used to achieve this goal. The aim of the study was to assess the effectiveness of Long thoracic nerve bloc on postoperative VATS analgesia.
Interventions
DRUGMorphine Sulfate
Intravenous morphine infusion with PCA: Solution was concentration of 0.5 mg/mL. Loading dose of 1 mg, 0.5 mg of bolus dose and 20 min of locking time.
DRUGBupivacaine
Ultrasound guided Long thoracic nerve blockage with 5 ml % 0.25 bupivacaine
Sponsors
Bursa Yuksek Ihtisas Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
Prospective, randomized, controlled, single-blind
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Patients who were in the American Society of Anesthesiologists (ASA) I-III class and underwent video-assisted thoracoscopic surgery (VATS).
Exclusion criteria
* Previous history of opioid use preoperatively, * Allergy to local anesthetics, * The presence of any systemic infection, * Uncontrolled arterial hypertension, * Uncontrolled diabetes mellitus.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| morphine consumption | Postoperative 24 hours | morphine consumption |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale | Postoperative 24 hours | Visual Analog Scale was used for pain.Pain intensity was measured using 0-10 cm visual analogue scale (VAS). (0=no pain, 10=intolerable pain) |
| side effect (Hypotension) | Postoperative 24 hours | side effect Hypotension |
| additional analgesic use | Postoperative 24 hours | additional analgesic use |
| side effect (Nausea and vomiting) | Postoperative 24 hours | Nausea and vomiting scale 1\. Nausea and vomiting scale (nausea-vomiting scale (NVS): 1. No nausea is present, 2. Mild nausea is present. 3. Severe nausea is present. 4. Vomiting is present) In case of a NVS score of \>3, an anti-emetic drug was administered. |
| side effect (Ramsay Sedation Scale (RSS) | Postoperative 24 hours | Ramsay Sedation Scale (Ramsay Sedation Scale (RSS) : 1. Anxiety, agitation are present; 2. Cooperated, awake; 3. Sedatized, response to commands; 4. Sleepy, immediately awoken by auditory stimulus or glabella tap; 5. Sleepy, deep response to auditory stimulus or glabella tap and 6. Sleepy, no response to auditory stimulus or glabella tap) |
Contacts
Primary Contactkorgün Ökmen, M.D
Backup ContactBurcu Metin Ökmen, M.D
Outcome results
None listed