Video-Assisted Thoracic Surgery
Conditions
Keywords
Video-Assisted Thoracic Surgery, perioperative care, patient-reported outcome measures, pain
Brief summary
Video-assisted thoracoscopic surgery (VATS) is a minimally invasive technique that provides faster recovery after thoracic surgery. Techniques such as thoracic paravertebral block, Erector Spina Plane Expansion (ESP block) are accepted as loco-regional techniques for VATS. The quality of recovery after anesthesia (QoR) is an important information of the early health components of patients after surgery. QoR-15 offers a valid, reliable, sensitive and easy-to-use method for recovery after surgery. We aimed to investigate the relationship between QoR-15 score and postoperative pain temperature after Video-Assisted Thoracoscopic Surgery (VATS) ESP block and paravertebral spread.
Detailed description
Video-assisted thoracoscopic surgery (VATS) is a minimally invasive technique that provides faster recovery after thoracic surgery. Techniques such as thoracic paravertebral block, Erector Spina Plane Expansion (ESP block) are accepted as loco-regional techniques for VATS. Despite the improvement in invasiveness against thoracotomy treatment, postoperative pain after VATS was still moderate to severe. In order to accelerate the recovery of patients, a multimodal analgesic should be carefully planned and where it will be beneficial. The quality of recovery after anesthesia (QoR) is an important information of the early health components of patients after surgery. The performance of QoR-15 has been translated into Turkish and validation studies have been conducted on its products. QoR-15 offers a valid, reliable, sensitive and easy-to-use method for recovery after surgery. We aimed to investigate the relationship between QoR-15 score and postoperative pain temperature after Video-Assisted Thoracoscopic Surgery (VATS) ESP block and paravertebral spread.
Interventions
Erector spinae plane block: Administration of 30 mL of 0.25% bupivacaine at the T4-T5 level under ultrasound guidance
Paravertebral block: Administration of 20 mL of 0.375% bupivacaine at the T4-T5 level under ultrasound guidance
Sponsors
Başakşehir Çam & Sakura City Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Masking description
Patients were assigned to Group ESPB or Group PVB using a computer-generated randomization list to ensure unbiased allocation. Allocation concealment was maintained using sealed, opaque envelopes that were opened immediately before block performance by the anesthesiologist performing the procedure.
Intervention model description
Our patients who will be included in the study are volunteers who are over 18 years of age and have ASA 1-3 and undergo Video-Assisted Thoracoscopic Surgery (VATS) (excluding lobectomy and pneumonectomy) under elective conditions. Demographic data will be in the form of ASA Score, body mass index (BMI), duration of anesthesia and operation, duration of hospital stay, complications, time until the first additional analgesic requirement, Numerical Rating Scale and Pain score (NRS score), preoperative and postoperative 24th hour QoR-15 survey score.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* ASA1-3 * Patient undergoing Video Assisted Thoracoscopic Surgery (VATS) * Over 18 years of age
Exclusion criteria
* Sympathectomy, lobectomy and pneumonectomy surgery using Video Assisted Thoracoscopic Surgery (VATS) * Cases that started with Video Assisted Thoracoscopic Surgery (VATS) but were converted to thoracotomy, * Patients who were uncooperative, * Patients who refused to participate in the study, * Presence of a neuropsychiatric disorder that could bias QoR-15T measurements or emergency surgical intervention, * Patients under 18 years of age.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effect of ESP block and paravertebral block on QoR-15 Quality of Recovery in VATS surgery | 24 hour | To demonstrate the effect of ESP block and paravertebral block on patient recovery at 24 hours using the Quality of Recovery-15 (QoR-15) scale in patients undergoing Video-Assisted Thoracoscopic Surgery (VATS). The QoR-15 scale provides a score ranging from 0 to 150, with a high score indicating a good quality of recovery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain score with Numeric Rating Scale (NRS score), | 1 day | The NRS is a one-dimensional scale using 11 numbers (0 to 10) to measure pain intensity. The patient is asked to choose the number that best reflects the pain intensity, with 0 = no pain and 10 = the worst (unbearable) pain. |
Countries
Turkey (Türkiye)
Outcome results
None listed