Thoracic Surgery, Videoassisted Thoracoscopic Surgery,One-lung Ventilation, Regional Anaesthesia, Postoperative Analgesia, Pain Score
Conditions
Keywords
videoassisted thoracoscopic surgery, regional anaesthesia, postoperative analgesia, chronic pain, quality of recovery
Brief summary
This present study aims is to compare the effects of ultrasound-guided paravertebral block, intertransverse process block, and erector spinae plane block on postoperative opioid consumption, and pain scores in patients undergoing VATS.
Detailed description
Video-assisted thoracic surgery (VATS) has become increasingly popular in Thoracic Surgery due to faster recovery and less postoperative pain compared to thoracotomy. However, although VATS has been reported to cause less postoperative pain than thoracotomy, it has also been shown to significantly increase the risk of acute and chronic postoperative pain, which negatively impacts postoperative pain recovery. Inadequate postoperative pain management can reduce the quality of a patient's recovery and increase the risk of postoperative pulmonary complication. Therefore, controlling pain in patients undergoing VATS is key to ensuring early mobilisation, and minimising the risk of pulmonary complications. Regional anaesthesia techniques are an important part of multimodal analgesia approach in patients undergoing VATS. The aim of the present study is to compare the effects of ultrasound-guided regional anaesthesia techniques on postoperative opioid consumption, and pain scores in patients undergoing VATS.
Interventions
Before the surgery, ultrasoud-guided paravertebral block will be performed before the surgery under standart anaesthesia monitoring
OTHERİntertransverse process block group
Before the surgery, ultrasoud-guided intertransverse process block will be performed before the surgery under standart anaesthesia monitoring
Before the surgery, ultrasoud-guided erector spinae plane block will be performed before the surgery under standart anaesthesia monitoring
Sponsors
Antalya Training and Research Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* aged 18-75 years * American Society of Anaesthesiology (ASA) score I-III * body mass index (BMI) \<35kg/m2 * scheduled for elective VATS
Exclusion criteria
* ASA score ≥4 * BMI ≥35 kg/m2 * declining to give written informed consent * controendications for block application * inability to undergo block application * history neurological disease or peripheral nerve disease * history of chronic opioid use * history of severe liver or kidney failure * patients admitted to the intensive care unit postoperatively intubated
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative opioid consumption | 24 hours | All patients will receive a standard patient analgesia (PCA) protocol after operation. The postoperative opioid consumption will only be recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Numerical Rating Scale (NRS) pain scores | postoperative 24 hours | The postoperative pain intensity will be assessed with the Numerical Rating Scale (NRS) score (0=no pain; 10=most severe pain). |
| Chronic pain | 3 months | Patients will be telephoned 3 months after the surgery and the presence, localization, intensity of the pain , its character, and its relation with rest and/or activity will be recorded by asking only verbally. |
Countries
Turkey (Türkiye)
Contacts
CONTACTSadik Ozmen
CONTACTBatuhan Kilic
PRINCIPAL_INVESTIGATORSadik Ozmen
University of Health Sciences, Antalya Training and Research Hospital
PRINCIPAL_INVESTIGATORBatuhan Kılıc
University of Health Sciences, Antalya Training and Research Hospital
PRINCIPAL_INVESTIGATORHacer Boztepe Yesilcay
University of Health Sciences, Antalya Training and Research Hospital
Outcome results
None listed