Video Assisted Thoracoscopic Surgery, Regional Block for Pain Control, Regional Blocks, Pulmonary Functions
Conditions
Brief summary
To compare the rhomboid intercostal subserratus plane block with the erector spinae plane block regarding their analgesic efficacy and effects on respiratory function for patients undergoing video-assisted thoracoscopic surgery.
Detailed description
Video-assisted thoracoscopic surgery (VATS) can be very painful and may lead to complications such as prolonged stays in intensive care, thromboembolic complications due to lack of early mobilization, chronic acute pain, and delirium if adequate analgesia is not provided. Therefore, using thoracic epidural, paravertebral, or regional blocks as part of multimodal analgesia is recommended to provide effective pain relief. This study aims to compare the effects of the erector spinae plane block (ESP) and rhomboid intercostal subserratus plane block (RISS) on postoperative analgesia and the improvement of respiratory parameters in patients undergoing VATS. The primary objective is to evaluate total analgesic consumption in the first 24 hours postoperatively. Secondary objectives include assessing active and dynamic pain scores, triflow performance, complications, and the length of hospital stays.
Interventions
PROCEDUREESP block group
ESP blocks are performed for patients undergoing VATS.
PROCEDURERISS block group
RISS blocks are performed for patients undergoing VATS.
Sponsors
Bursa City Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Patients who will undergo VATS * Who agrees to participate * American Society of Anesthesiologists (ASA) physical status I, II, and III * Elective surgery * Age between 18 and 80 years
Exclusion criteria
* Local anesthetic allergy * Who disagrees to participate * ASA physical status IV and V * Emergency surgery * Hemorrhagic disease * Thoracic vertebrae deformity * Thoracic vertebrae surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Opioid consumption | Postoperative first 24 hours. | Total opioid consumption within the first 24 hours in the postoperative period. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dynamic pain score | Postoperative first 24 hours. | Postoperative pain scores during coughing and deep breathing are measured on a 10 cm scale, where 0 indicates no pain and 10 indicates the worst pain ever. |
| Resting pain score | Postoperative first 24 hours. | Postoperative pain scores during rest are measured on a 10 cm scale, where 0 indicates no pain and 10 indicates the worst pain ever. |
| Pulmonary functions | Postoperative first 24 hours. | Pulmonary functions are assessed using Triflow performance. Postoperative Triflow numbers (whether 1, 2, or 3 balls can be raised) for the patients are recorded. |
| Complications | Through study completion, an average of 1 year | Complications regarding regional blocks and surgery (such as hematoma, pulmonary complications) are recorded. |
| Hospital stay time | Perioperatively | The length of hospital stay is recorded. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactHande Gurbuz, Assoc Prof, MD, PhD
Backup ContactYusuf Alan, MD
Outcome results
None listed