Local Anesthetic, Pain, Postoperative, Serratus Anterior Plane Block, Thoracic Surgery, Video-Assisted
Conditions
Brief summary
Video-assisted thoracic surgery (VATS) has become a common procedure in thoracic surgery. Severe postoperative pain may be encountered in patients undergoing VATS. Analgesic methods such as thoracic paravertebral block (TPVB), intercostal block, serratus anterior plane block (SAPB), and erector spinae plane block (ESPB) are widely used for VATS. Among these methods, ultrasound (US) guided TPVB is the most preferred method. In recent years, the frequency of application of plane blocks as a component of multimodal analgesia has been increased. ESPB and SAPB are some of them. In addition, SAPB 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 SAPB block to be performed with USG in patients who underwent VATS.
Interventions
PROCEDURESerratus Anterior Plan Block with 20 ml
Superficial serratus anterior plane block with 20 ml will be applied to the patients under real-time ultrasound guidance.
PROCEDURESerratus Anterior Plan Block with 30 ml
Superficial serratus anterior plane block with 30 ml 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 video assisted thoracoscopic surgery
Exclusion criteria
* Patient refusing the procedure * Emergency surgery * Chronic opioid or analgesic use
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)
Contacts
Primary ContactMusa Zengin, MD
Backup ContactAli Alagoz, Assoc Prof
Outcome results
None listed