Anesthesia, Conduction, Pain Management
Conditions
Brief summary
This study evaluates the effects of serratus plane block on intraoperative opioid consumption, emergence time and hemodynamic stability in patients undergoing video-assisted thoracic surgery.
Detailed description
Thoracotomy is known as one of the most painful surgery. Thus, there is a development to reduce surgical stress in terms of operation technique, which is video-assisted thoracoscopic surgery. Although it has reduced postoperative pain and complications compared with thoracotomy, VATS is still quite painful operation. Serratus plane block is a novel technique which provide analgesic effect for lateral chest wall by blocking lateral branch of intercostal nerve. It has been reported to be used for pain management including rib fracture, herpes zoster, and postoperative pain. It has become a popular analgesic modality because it is easy to perform and relatively safe. However, the effect of serratus plane block during intraoperative period has not yet been studied. In this study, therefore, the investigators decided to assess the effect of serratus plane block on intraoperative opioid consumption, emergence time and hemodynamic stability in patients undergoing video-assisted thoracic surgery.
Interventions
PROCEDURESerratus plane block
The subjects were received serratus plane block in the regional-anesthesia unit out of operation room before induction of general anesthesia. And, video-assisted thoracic surgery was performed under balanced general anesthesia.
PROCEDUREGeneral anesthesia only
Video-assisted thoracic surgery was performed under balanced general anesthesia without serratus plane block
Sponsors
Kyungpook National University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* American Society of Anesthesiologists physical status classification I-III for three port video-assisted thoracic surgery lobectomy under general anesthesia
Exclusion criteria
* History of allergic reaction to local anesthetics, coagulopathy, local infection at the injection site, and systemic infection.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative remifentanil consumption | through study completion, an average of 1 year | Intraoperative remifentanil consumption will be checked. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Emergence time | through study completion, an average of 1 year | Emergence time is duration between the end of surgery and extubation. Emergence time will be checked. |
| Systolic blood pressure | through study completion, an average of 1 year | Systolic blood pressure (mmHg) will be checked |
| Heart rate | through study completion, an average of 1 year | Heart rate (beats per minute) will be checked |
| Dose of rescue drugs used to control blood pressure and HR | through study completion, an average of 1 year | Dose of rescue drugs used to control blood pressure and HR will be checked |
Countries
South Korea
Contacts
Primary ContactJimin Heo
Outcome results
None listed