Thoracic Surgery
Conditions
Brief summary
First rib resection surgery for thoracic outlet syndrome is associated with an intense postoperative pain. It leads to significant consumption of nonsteroidal anti-inflammatory drugs and opioids, and hospitalization for several days. In our center, first rib resection surgery was usually performed under general anesthesia combined with diffuse local infiltration of the axillary fossa. Erector spinae block is an interfascial block where a local anesthetic is injected between the erector spinae muscle and the transverse process, in order to obtain a multimetameric analgesia. It has now shown its efficacy and its safety in thoracic and abdominal surgeries by decreasing the morphine consumption and pain scores. Since November 2018, this erector spinae block is systematically performed preoperatively for first rib resection in our center, in association with a general anesthesia. Patient satisfaction seems important but remains to be assessed objectively. In a before-after study, our goal is to assess the impact of the use of erector spinae block on postoperative pain in the first rib resection surgery.
Interventions
PROCEDUREErector spinae block
Preoperative erector spinae block.
Sponsors
University Hospital, Angers
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* First rib resection for thoracic outlet syndrome
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain assessment at H+48 | Day 2 after surgery | Numerical pain rating scale: 0 (no pain at all) to 10 (worst imaginable pain) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total consumption of morphine (per and postoperative) | Hour 2, Day 1, Day 2 and Day 3 after surgery | — |
| Postoperative pain assessment at other times | Hour 2, Day 1, and Day 3 after surgery | Numerical pain rating scale: 0 (no pain at all) to 10 (worst imaginable pain) |
| Frequency of adverse effects related to morphine Frequency of morphine side effects | Hour 2, Day 1, Day 2 and Day 3 after surgery | — |
| Length of hospital stay | Through study completion, an average of 1 year | — |
Countries
France
Contacts
Primary ContactEmmanuel Rineau, MD
Backup ContactSiaudeau Hélène, MD
Outcome results
None listed