Postoperative Analgesia, Video-assisted Thoracoscopic Surgery
Conditions
Brief summary
This study aims to compare the effects of the erector spinae plan block (ESP) and modified pectoral nerve block (PECS II) on postoperative analgesia in patients undergoing video- assisted thoracoscopic surgery (VATS).
Detailed description
55 patients (ASA I-II-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 ESP groups). Three patients were excluded from the study because thoracotomy was performed. ESP block was performed for ESP 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, numeric rating scale values, time of the first analgesic request, and additional analgesic consumption were recorded.
Interventions
PROCEDUREerector spina plane block
The investigators performed erector spina plane block to that patient group for postoperative analgesia
PROCEDUREmodified pectoral nerve block
The investigators performed modified 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
* 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 * Patients with ASA IV-V
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative 24-hours total morphine consumption | 24 hours postoperatively | This will be measured only one time by pca device at the 24th hour after surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| NRS scores of patients | 24 hours postoperatively | NRS at 0, 1, 2, 4, 8, 12 ve 24th hours |
Countries
Turkey (Türkiye)
Outcome results
None listed