Ignite Creation Date:
2024-05-06 @ 8:21 PM
Last Modification Date:
2024-10-26 @ 3:26 PM
Study NCT ID:
NCT06352398
Status:
COMPLETED
Last Update Posted:
2024-04-08
First Post:
2023-12-21
Brief Title:
Comparison of Analgesic Efficacy in Video-Assisted Thoracoscopic Surgery Patients
Sponsor:
Burcu Bozdogan Tuysuz
Organization:
Istanbul Medeniyet University
Study Overview
Official Title:
Comparison of Analgesic Efficacy in Video-Assisted Thoracoscopic Surgery Patients
Status:
COMPLETED
Status Verified Date:
2024-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The 52 patients included in the study were divided into two groups as ESPB n26 and SPSIPB n26 Before the operation 025 bupivacaine 30 ml was administered to both groups After admission to the operating room all patients underwent standard anaesthesia procedures Morphine 005 mgkg iv and parol 1 g iv were administered 30 min before the end of the operation Post operatively the patient was followed up with controlled analgesia Demographic data ASA scores body mass indexes peri-operative haemodynamic values remifentanil consumption and duration of surgery were recorded Post-operative first 24 hours NRS scores morphine consumption number of nausea and vomiting episodes were recorded
Detailed Description:
The aim of the study is to evaluate the effect of erector spina plan block ESPB and Serratus posterior superior intercostal plan block SPSIPB on postoperative analgesia management
After providing asepsis and antisepsis conditions to the ESPB group in the sitting position a high frequency linear USG probe will be placed approximately 2-3 cm lateral to the T5 spinous process in the longitudinal plane After visualising the T5 transverse process with the in plane approach the skin will be entered in the craniocaudal direction Trapezius rhomboid and erector spinae muscles will be passed and 5 ml of saline will be injected between the erector spinae muscle fascia and vertebral transverse process when the needle rests on the spinous process approximately 3 cm deep and the block site will be confirmed Then 30 ml of 025 bupivacaine 1mgkg will be injected by negative aspiration
In the SPSIPB group the patient will be positioned in the lateral position with the surgical side up and the upper extremity hanging over the patients head for the USG-guided serratus posterior superior plan block After asepsis and antisepsis conditions are provided the spina scapula will be visualised above the scapula with our high frequency linear USG probe The 3rd rib will be visualised with a high frequency probe medial to the scapula corresponding to the 3rd rib level The ribs pleura and the serratus muscle covering it will be determined and the needle tip will be advanced until it touches the 3rd ribAfter the 3rd rib is visualised by USG 5 ml isotonic is given and hydrodissection is performed 30 ml 025 bupivacaine 1mgkg will be injected between the serratus posterior superior muscle and the 3rd rib The craniocaudal spread of local anaesthetic will be visualised by USG Afterwards the patients will be taken to the operation room and routine monitoring including ECG peripheral oxygen saturation non-invasive blood pressure arterial pressure monitoring and bispectral index BIS monitoring will be performed
After providing asepsis and antisepsis conditions to the ESPB group in the sitting position a high frequency linear USG probe will be placed approximately 2-3 cm lateral to the T5 spinous process in the longitudinal plane After visualising the T5 transverse process with the in plane approach the skin will be entered in the craniocaudal direction Trapezius rhomboid and erector spinae muscles will be passed and 5 ml of saline will be injected between the erector spinae muscle fascia and vertebral transverse process when the needle rests on the spinous process approximately 3 cm deep and the block site will be confirmed Then 30 ml of 025 bupivacaine 1mgkg will be injected by negative aspiration
In the SPSIPB group the patient will be positioned in the lateral position with the surgical side up and the upper extremity hanging over the patients head for the USG-guided serratus posterior superior plan block After asepsis and antisepsis conditions are provided the spina scapula will be visualised above the scapula with our high frequency linear USG probe The 3rd rib will be visualised with a high frequency probe medial to the scapula corresponding to the 3rd rib level The ribs pleura and the serratus muscle covering it will be determined and the needle tip will be advanced until it touches the 3rd ribAfter the 3rd rib is visualised by USG 5 ml isotonic is given and hydrodissection is performed 30 ml 025 bupivacaine 1mgkg will be injected between the serratus posterior superior muscle and the 3rd rib The craniocaudal spread of local anaesthetic will be visualised by USG Afterwards the patients will be taken to the operation room and routine monitoring including ECG peripheral oxygen saturation non-invasive blood pressure arterial pressure monitoring and bispectral index BIS monitoring will be performed
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None