Pain, Postoperative, Lung Cancer
Conditions
Keywords
bupivacaine, lipossomal extended release bupivacaine, Intercostal nerve block, thoracic surgery, minimally invasive surgery
Brief summary
Randomized trial of intraoperative intercostal block with bupivacaine with epinephrine compared to lipossomal extended release bupivacaine.
Detailed description
Patients undergoing minimally invasive thoracic surgery will be randomized to receive 0.05% bupivacaine with 1:200,000 epinephrine (control group) or extended release lipossomal bupivacaine. Primary outcomes are postoperative pain measured by visual analog scale, amount of morphine equivalent narcotics used, and postoperative complications. Patients are excluded if they undergo open thoracotomy, or minimally invasive decortication.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
Patients who will be undergoing minimally invasive thoracic surgery * Patients who will be undergoing minimally invasive thoracic surgery
Exclusion criteria
* Open surgery * Chronic use of narcotics * Use of pregabalin or similar * Significant liver or kidney dysfunction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain | 3-5 days post op | Pain assessment with Visual Analog Scale (VAS). This is a numeric pain scale widely used in healthcare that ranks pain from 0 (no pain) to 10 (unbearable pain). A pain score below 3 is considered good. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative complications | 90 days post op | Any complication occuring in the first 90 days classified according to the Clavien-Dindo classification. |
| Narcotic used | 3-5 days post op | Amount of morphine equivalent dosage used in the postoperative period |
Countries
United States