Postoperative Analgesia, Thoracic Paravertebral Block, Video-assisted Thoracoscopic Surgery
Conditions
Keywords
Thoracic paravertebral block,, pectoralis block,, Video-assisted thoracoscopic surgery,, Postoperative analgesia
Brief summary
This study aims to compare the efficacy and safety of ultrasound-guidedPECS II block with TPVB for postoperative analgesia after VATS.
Detailed description
52 patients (ASA I-III) between 18 and 65 years of age, who were to undergo VATS, were randomized and divided into two groups. (26 patients in each of the PECS and TPVB groups) Thoracic paravertebral block was administered from two consecutive levels for TPVB group and a modified pectoral nerve block was performed in the PECS group. Postoperative analgesia was provided by intravenous morphine infusion using a patient-controlled analgesia device. Postoperative 24-hour total morphine consumption and duration of analgesia were the primary outcome measure. Perioperative remifentanil use, visual analog scale values during at rest and coughing, time of the first analgesic request, and additional analgesic consumption were recorded.
Interventions
PROCEDUREparavertebral block
The investigators performed Paravertebral block to that patient group for postoperative analgesia
PROCEDUREpectoral block
The investigators performed pectoral block to that patient group for postoperative analgesia
Sponsors
Bakirkoy Dr. Sadi Konuk Research and Training Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Ages of 18-65 * Patients who will undergo VATS * ASA I-II-III patients
Exclusion criteria
* Patients with ASA IV * Clinically diagnosis of spinal or chest wall deformity or pathology * Clinically known local anesthetic allergy * Morbid obesity (body mass index\>40 kg m2) * Clinically diagnosis of opioid, alcohol and substance dependence * Clinically diagnosis of psychiatric disease * Coagulopathy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative 24-hours total morphine consumption of patients | 24 hours postoperatively | This will be measured only one time by pca device at the 24th hour after surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale values of patients | 24 hours postoperatively | Visual Analog Scale (VAS, 0-10; 0= no pain and 10= very severe unbearable pain) at 0-1-2-4-8-12 and 24th hours |
Countries
Turkey (Türkiye)
Outcome results
None listed