Postoperative Analgesia y After Uniportal Video-assisted Thoracoscopic Surgery

Comparison of Surgical Thoracoscopic Intercostal Nerve Block and Ultrasound-guided Erector Spinae Plane Block for Postoperative Analgesia and Enhanced Recovery After Uniportal Video-assisted Thoracoscopic Surgery: a Double-blinded, Randomized Controlled Trial

Status

UNKNOWN

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT05242328

Enrollment

Registered

2022-02-16

Start date

2021-01-05

Completion date

2024-12-26

Last updated

2023-02-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Post-operative Pain, Acute, Post-operative Pain, Thoracic Diseases, Post-Op Complication

Keywords

Uniportal video-assisted thoracoscopic surgery, Ultrasound-guided erector spinae plane block, surgical thoracoscopic intercostal nerve block, cumulative intravenous morphine consumption, visual analogue scale, Enhanced Recovery After Surgery

Brief summary

Ultrasound-guided erector spinae plane block (ESPB) is an interfascial blockade during thoracic anesthesia, first described by Forero in 2016, and is highlighted by technically feasibility and less complication rate. The patient is placed as decubitus position. The anesthesiologists use echo to identify the ipsilateral transverse process at T5 level, and insert the needle to 2-3 cm lateral to the spinous process until contact the transverse process. Then the injected local anesthetic will penetrate via erector spinae muscle to paravertebral space to affect and relieve pain.

Interventions

PROCEDUREUltrasound-guided erector spinae plane block

Ultrasound-guided erector spinae plane block

PROCEDUREsurgical thoracoscopic intercostal nerve block

surgical thoracoscopic intercostal nerve block

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

DOUBLE (Subject, Caregiver)

Eligibility

Sex/Gender

ALL

Age

20 Years to No maximum

Healthy volunteers

Inclusion criteria

* adult patients, over 20 years old, u * undergoing elective uniportal VATS lobectomy.

Exclusion criteria

* patient refusal, * body mass index \> 35 kg/m2, * American society of anesthesiologists (ASA) grade above 3, * contraindication to nerve block, * allergy to analgesic agents, * regular opioid used for chronic pain prior to this time surgery, * conversion to thoracotomy or VATS procedure, * postoperative intubation, * postoperative intensive care unit admission.

Design outcomes

Primary

Measure	Time frame	Description
Visual analogue scale	post-op 2 days	post-op VAS score, 0-10, the higher means painful, and 0 point no pain.
accumulated morphine usage dose	post-op 2 days	accumulated morphine usage dose

Countries

Taiwan

Contacts

Primary ContactShuoying Dai, MD

hsnu_10@yahoo.com.tw+886-6-2353535

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026