Comparison of Erector Spinae Plane Block With Thoracic Paravertebral Block for Video Assisted Thoracoscopic Surgery

NCT03538496 | Completed

• 1 other identifier: AUTF ANESTHESIA5
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Erector Spinae Plane Block (ESPB) is a newly described and effective interfascial plane block for thoracic and abdominal surgery. It was first described by Forero et al. in 2016, effectiveness being reported in four cases. The paravertebral block has been successfully used in various surgical patient groups for purposes of anesthesia or postoperative pain management such as thoracotomy, breast surgery and abdominal surgery. The aim of this study is to compare the analgesic effects of erector spinae plane block and paravertebral block in patients undergoing video assisted thoracoscopic surgery.

Conditions

Postoperative Pain

Outcome Measures

Primary Outcomes (1)

• Postoperative opioid consumption

  First 24 hours total fentanyl consumption with patient controlled analgesia

  First 24 hours

Secondary Outcomes (2)

• Visual analog pain score

  postoperative 0-24 hours

• Block performing time

  First hour

Study Arms (2)

ultrasound guided erector spinae plane block

ACTIVE COMPARATOR

ultrasound guided erector spinae plane block with 20 ml %0.25 bupivacaine

Drug: Bupivacaine Hcl 0.25% Inj

ultrasound guided paravertebral block

ACTIVE COMPARATOR

ultrasound guided paravertebral block with 20 ml %0.25 bupivacaine

Drug: Bupivacaine Hcl 0.25% Inj

Interventions

Bupivacaine Hcl 0.25% Inj DRUG

Single shot 20 ml 0.25 bupivacaine

ultrasound guided erector spinae plane block; ultrasound guided paravertebral block

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• American Society of Anesthesiologist's physiologic state I-III patients
• Undergoing video assisted thoracoscopic surgery

You may not qualify if:

• chronic pain
• bleeding disorders
• renal or hepatic insufficiency
• patients on chronic non-steroidal anti-inflammatory medications
• emergency cases

Sponsors & Collaborators

• Ataturk University: lead

Study Sites (1)

Ataturk University

Erzurum, 25100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pain, Postoperative

Interventions

Bupivacaine

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Intervention Hierarchy (Ancestors)

Anilides; Amides; Organic Chemicals; Aniline Compounds; Amines

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: May 16, 2018
• First Posted: May 29, 2018
• Study Start: December 1, 2017
• Primary Completion: September 1, 2018
• Study Completion: September 30, 2018
• Last Updated: May 10, 2019

Record last verified: 2019-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)