Analgesia
Conditions
Brief summary
Thoracotomy is one of the most painful surgeries; Video-assisted thoracoscopic surgery (VATS) has been developed to reduce the surgical stress of thoracotomy. However, patients may experience moderate to severe pain within the first 24 hours after VATS. Intravenous opioids are frequently used to provide postoperative analgesia, and accordingly, side effects such as postoperative nausea/vomiting and respiratory depression can be seen. The aim of this study is to compare Superficial+Deep Vs. Deep Serratus Anterior Plan Block for postoperative pain control in VATS cases.
Interventions
OTHERGroup Superficial+Deep Serratus Anterior Plan Block
The block will be performed after induction of general anesthesia and surgical positioning. 15 ml of 0.375% Bupivacaine + epinephrine 5 µg/ml will be administered between the serratus anterior and latissimus dorsalis muscles. The same concentration of block fluid will be applied between the serratus anterior and the outer intercostal muscle.
OTHERGroup Deep Serratus Anterior Plan Block
30 ml 0.375% Bupivacaine + epinephrine 5 µg/ml will be administered between the serratus anterior and outer intercostal muscle.
Sponsors
Ataturk University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
1. American Society of Anesthesiologist's physiologic state I-III patients 2. To undergo Video Assisted Thoracic Surgery 3. Being between the ages of 18-65 years
Exclusion criteria
* having a known heart, kidney, liver or hematological disease * having a history of peptic ulcer, gastrointestinal bleeding, allergy, chronic pain * Routine analgesic use and history of analgesic use in the last 24 hours * Not willingto participate in the study * Uncooperative patients who have coagulopathy or use anticoagulant drugs * To be allergic to one of the drugs to be used * Contraindication for Video Assisted Thoracic Surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative opioid consumption | first 24 hours | First 24 hours total fentanyl consumption with patient controlled analgesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual analog pain score | first 48 hours | Post operative pain will be evaluated with a Visual Analogue Scale (between 0-10; 0: no pain, 10:worst pain) score |
Countries
Turkey (Türkiye)
Outcome results
None listed