Postoperative Pain
Conditions
Keywords
Thoracic surgery, Postoperative pain, Rhomboid block, Paravertebral block
Brief summary
The main aim of this study is to compare thoracic paravertebral block and rhomboid block for postoperative analgesia and analgesic usage in thoracic surgeries.
Detailed description
Patients with scheduled thoracic surgery are going to be enrolled for this study. Patients will be randomized and separated in two groups. Group I will receive thoracic paravertebral block, group II will receive rhomboid block. Each group will receive patient controlled analgesia with intravenous fentanyl. Patients will be monitored at postoperative 1st, 3rd, 6th, 12th, 24th hours and their VAS scores, adverse reactions like nausea and vomiting, total analgesic usage, additional analgesic need and time of the first report of pain will be filed. Then the two groups will be compared and evaluated.
Interventions
PROCEDUREThoracic Paravertebral Block
Paravertebral block for postoperative analgesia in thoracic surgery
PROCEDURERhomboid Block
Rhomboid block for postoperative analgesia in thoracic surgery
Sponsors
Koç University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Patients scheduled for general thoracic surgery * ASA I-III
Exclusion criteria
* Patients without consent * Emergency surgeries * Pregnancy * Coagulopathies and bleeding diathesis * Allergy to local anesthetics * Local skin infection at the puncture site
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difference in Visual Analogue Scale (VAS) scores between two groups | 24 hours | Statistically significant difference in VAS scores at 1st, 3rd, 6th, 12th, 24th hours between two groups. On a scale of 0 to 10, where 0 means no pain and 10 means the worst imaginable pain. |
| Difference in additional analgesic usage between two groups | 24 hours | Intravenous patient controlled analgesia usage and additional analgesic dosages will be filed as miligrams or micrograms at 1st, 3rd, 6th, 12th, 24th hours. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of nausea and vomiting | 24 hours | Incidence of symptoms like nausea and vomiting will be filed at 1st, 3rd, 6th, 12th, 24th hours. On a scale of 0 to 1, where 0 means no symptoms and 1 means nausea and vomiting. |
| Patient satisfaction | 24 hours | Patient will be reevaluated at 24th hour for analgesic satisfaction. On a scale of 0 to 3, where 0 means not satisfied and 3 means satisfied. |
Countries
Turkey (Türkiye)
Outcome results
None listed