Erector Spinae Plane Block, Local Anesthetic, Postoperative Analgesia, Thoracotomy
Conditions
Brief summary
It is widely accepted that thoracotomy causes severe acute pain. This increases the frequency of postoperative pulmonary complications and postoperative morbidity. Many analgesic methods have been proposed for thoracotomy pain, including thoracic epidural analgesia (TEA), thoracic paravertebral block (TPVB), intercostal nerve blocks (ICSB), erector spinae plane block (ESPB), serratus anterior plane block (SAPB). Among these methods, ultrasound-guided TPVB and ESPB are the most used methods. TPVB has left its place to newer techniques such as ESPB due to its proximity to the pleura and its deeper location. ESPB is more superficial, easy to access, and less likely to have complications. In addition, ESPB application is increasing in patients who underwent thoracotomy and VATS. There is no consensus on the dose of analgesia in these studies. There are studies on volumes between 10 ml and 40 ml in the literature. In this study, it was aimed to compare the volumes of 20 ml and 30 ml containing local anesthetic at the same concentration (0.25% bupivacaine) of ESPB block to be performed with USG in patients who underwent thoracotomy.
Interventions
PROCEDURESame blocks with different local anesthetic volume
Erector spinae plane block with different local anesthetic volumes will be applied to the patients under real-time ultrasound guidance.
Sponsors
Atatürk Chest Diseases and Chest Surgery Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* 18 to 65 years old * ASA physical status I-II-III * BMI 18 to 30 kg/m2 * Elective thoracotomy surgery
Exclusion criteria
* Patient refusing the procedure * Emergency surgery * History of chronic opioid or analgesic used
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Scores | 48 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, 24th and 48th hours after surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Morphine Consumption | 24 hours after surgery | Morphine consumption for 24 hours will be recorded |
Countries
Turkey (Türkiye)
Outcome results
None listed