Regional Anesthesia
Conditions
Brief summary
Analgesia related to the administration of local anesthetic solution into the fascia of erector spinae muscle is mediated by the effect of local anesthetic on the posterior and lateral branches of the anterior part of the spinal nerve. Comparable analgesic efficiency after the administration of both nerve blocks would reject the widespread theory of the paravertebral site of effect of the local anesthetic in ESPB.
Interventions
PROCEDUREnew type of peripheral block Serratus Posterior Plane Block
Intervention will be Serratus Posterior Plane Block.
Sponsors
Masarykova Nemocnice v Usti nad Labem, Krajska Zdravotni a.s.
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patiens undergoing VATS-surgery
Exclusion criteria
* Age \< 20 years * Body Mass Index \>35 kg/m2 * Technical difficulties with the nerve block administration and/or subsequent bolus application * Abnormal course of the surgery (e.g. conversion to thoracotomy) or the postoperative phase (e.g. surgical revision of the chest) * Patient's refusal
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cumulative opioid dose in 72 hours | from end of surgery to 72 hours after the end surgery | Irrespective of the type of the block, 20 mls of 0.25 % bupivacaine will be administered to the block catether every 8 hours. Every patients will receive non-opioid analgesics according to standardized ward guideline. VAS score is recorded at least every 3 hours (except for time patient is asleep). Any time patient reports VAS score \>=5, he/she will receive 5 mg of morphine intravenously (or equivalent dose of Oxycodone per os). Cumulative dose of opioids will be recorded. |
Countries
Czechia
Contacts
Primary ContactDaniel Nalos
Backup ContactOndrej Maly
Outcome results
None listed