Postoperative Pain, Acute
Conditions
Brief summary
comparing preemptive analgesia with ultrasound guided modified serratus anterior plane block versus ultrasound guided serratus anterior plane block
Detailed description
comparing the quality of postoperative analgesia and opioid consumption in patients undergoing Video-Assisted Thoracoscopic Surgery when using preemptive analgesia with ultrasound guided modified serratus anterior plane block versus ultrasound guided serratus anterior plane block
Interventions
DRUG25 ml of bupivacaine 0.25% via serratus anterior block
patients will receive conventional serratus anterior plane block with a volume of 25 ml of bupivacaine 0.25% followed by induction of general anesthesia,
DRUG25 ml of bupivacaine 0.25% via modified serratus anterior palne block
patients will receive modified serratus anterior plane block with a volume of 25 ml of bupivacaine 0.25% followed by induction of general anesthesia.
Sponsors
Zagazig University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
21 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Patient consent. * both sex. * Age: 21-70 years old. * BMI: 18- 30 kg/m2 * ASA: I and II. * Scheduled for elective unilateral Video-Assisted thoracoscopy under general anesthesia.
Exclusion criteria
* History of allergy to the local anesthesia agents used in this study, * Skin lesion at needle insertion site, * Those receiving anticoagulant therapy or having bleeding disorders * Patients with history of chronic pain and taking analgesics, * Patients with sepsis and Significant cardiac, liver or renal diseases * Uncooperative patients or with psychiatric disorders.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| tramadol consumption | at 24 hours postoperative | The amount of tramadol consumption at 24 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time of performance | from ultrasound probe positioning till the end of the block procedure | Time of performance of block defined as time from ultrasound probe positioning till the end of the block procedure |
| Time to first dose of rescue analgesia | during the first postoperative 24 hours | Time to first dose of rescue analgesia (VAS \> 3) after surgery |
| Patient satisfaction | at 24 hous post operative | Patient satisfaction with analgesia in the first 24hours postoperative hours will be Likert scale where 5 is very satisfied and 0 is very dissatisfied. |
Countries
Egypt
Contacts
Primary ContactHeba M Fathi
Outcome results
None listed