Acute Pain, Chronic Pain, Erector Spinae Plane Block, Postoperative Pain, Thoracic Paravertebral Block, Video-Assisted Thoracoscopic Surgery
Conditions
Keywords
Chronic pain, Erector spinae plane block, Thoracic paravertebral block, Acute pain
Brief summary
Postoperative acute and chronic pain is frequently observed in patients undergoing video assisted thoracoscopic surgery (VATS). This prolongs the discharge time of patients and increases the frequency of postoperative pulmonary complications. Recently, alternative analgesic methods such as thoracic paravertebral block (TPVB) and erector spinae plane block (ESPB), which are thought to have less side effects than thoracic epidural analgesia, have been used. Among these methods, ultrasound (US) guided TPVB is the most preferred method. In addition, ESPB application is increasing in patients undergoing VATS. In the literature, the number of cases performed with ESPB and randomized controlled prospective studies with ESPB are increasing. In this study, it is planned to compare the effects of US-guided TPVB and ESPB on postoperative acute and chronic pain in patients undergoing VATS.
Interventions
PROCEDUREThoracic paravertebral block vs Erector spinae plane block
Thoracic paravertebral block and erector spinae plane block will be performed unilaterally, under US guidance, before the surgical operation, after the induction of anesthesia, when the patient is placed in the lateral decubitus position.
Sponsors
Atatürk Chest Diseases and Chest Surgery Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Age between 18 and 80 years * American Society of Anesthesiologists physical status I-II-III * Body mass index between 18-30 kg/m2 * Patients undergoing elective video assiste thoracoscopic surgery
Exclusion criteria
* Advanced cancer * History of chronic analgesic therapy * History of local anesthetic allergy * Infection in the intervention area * Patients with bleeding disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain scores | 24 hours after surgery | Pain will be assessed at rest and while coughing using the visual analog scale on a scale from 0 (no pain) to 10 (worst pain). Pain assessment will be done at 1st, 2nd, 4th, 8th, 16th and 24th hours after surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Chronic pain | First and 3th month | Chronic pain findings will be evaluated in the 1st month and 3rd month after surgery by using visual analog from 0 (no pain) to 10 (worst pain). Neuropathic pain symptoms (Burning, stabbing, or electric shock-like pain; tingling, numbness, or a pins and needles feeling, hyperalgesia, allodynia and hypoesthesia) will also be asked to the participants in the 1st month and 3rd month after surgery. |
Countries
Turkey (Türkiye)
Outcome results
None listed