Analgesia, Lung Cancer, Postoperative Pain
Conditions
Brief summary
A prospective randomized controlled study was undertaken to compare the postoperative analgesic effect between ultrasound-guided serratus anterior plane block and intercostal nerve block after video-assisted thoracoscopic lobectomy.
Detailed description
Post-thoracotomy pain is one of the most notorious postsurgical pains that one can experience. The pain is known to last for an extensive period of time with significantly high intensity. In field of thoracic surgery, video-assisted thoracoscopic surgery has been played an important role in alleviating the postoperative pain. In field of anesthesiology, various attempts to alleviate post-thoracotomy pain have been tried along advancement of thoracic surgical techniques. It began with postoperative medication of non-steroid anti-inflammatory drugs, opioids and progressed into implementations such as local analgesia, thoracic epidural block, paravertebral block, intercostal nerve block, interpleural block and serratus anterior plane block. Many analgesic methods have been applied to alleviate postoperative pain in patients who have undergone thoracoscopic surgeries. However, there are no prospective randomized controlled studies between intercostal nerve block and serratus anterior plane block in video-assisted thoracoscopic lobectomy. The main purpose of this study is to compare and analyze the effects between conventional intercostal nerve block and newly introduced serratus anterior plane block in lung cancer patients who have undergone video-assisted thoracoscopic lobectomy. This prospective study will discover the efficacy and differences between two methods.
Interventions
PROCEDUREThoracoscopic lobectomy
Thoracoscopic lobectomy was performed for lung cancer
Sponsors
Kyungpook National University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* lung cancer * American Society of Anesthesiologists (ASA) I-III class * Video-assisted thoracoscopic lobectomy
Exclusion criteria
* previous history of allergy to local anesthetics * psychological disorder * chronic analgesics or sedatives use * coagulopathy * The presence of systemic infection or local infection at injection site * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain: numeric rating scale | at postanesthesia care unit (PACU) | Postoperative pain will be evaluated using a numeric rating scale (0 being no pain, 10 being worst pain imaginable) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of analgesics consumption | through study completion, an average of 1 yea | If the participant has additional analgesic requirement postoperatively, ketorolac 30mg will be injected intravenously when numeric rating scale score is measured as 4-5, and fentanyl 50# is injected when numeric rating scale score is over 6. |
| Amount of analgesics consumption | : through study completion, an average of 1 year | If the participant has additional analgesic requirement postoperatively, ketorolac 30mg will be injected intravenously when numeric rating scale score is measured as 4-5, and fentanyl 50# is injected when numeric rating scale score is over 6. |
Countries
South Korea
Contacts
Primary ContactJimin Heo
Backup ContactSaeyoung Kim
Outcome results
None listed