Postoperative Analgesia y After Uniportal Video-assisted Thoracoscopic Surgery
Comparison of Surgical Thoracoscopic Intercostal Nerve Block and Ultrasound-guided Erector Spinae Plane Block for Postoperative Analgesia and Enhanced Recovery After Uniportal Video-assisted Thoracoscopic Surgery: a Double-blinded, Randomized Controlled Trial
1 other identifier
interventional
40
1 country
1
Brief Summary
Ultrasound-guided erector spinae plane block (ESPB) is an interfascial blockade during thoracic anesthesia, first described by Forero in 2016, and is highlighted by technically feasibility and less complication rate. The patient is placed as decubitus position. The anesthesiologists use echo to identify the ipsilateral transverse process at T5 level, and insert the needle to 2-3 cm lateral to the spinous process until contact the transverse process. Then the injected local anesthetic will penetrate via erector spinae muscle to paravertebral space to affect and relieve pain.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jan 2021
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 5, 2021
CompletedFirst Submitted
Initial submission to the registry
January 26, 2022
CompletedFirst Posted
Study publicly available on registry
February 16, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 26, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 26, 2024
CompletedFebruary 27, 2023
December 1, 2022
4 years
January 26, 2022
February 23, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Visual analogue scale
post-op VAS score, 0-10, the higher means painful, and "0" point no pain.
post-op 2 days
accumulated morphine usage dose
accumulated morphine usage dose
post-op 2 days
Study Arms (2)
post-operative VAS score of Ultrasound-guided erector spinae plane block
ACTIVE COMPARATORpost-operative VAS score of surgical thoracoscopic intercostal nerve block
ACTIVE COMPARATORInterventions
Ultrasound-guided erector spinae plane block
surgical thoracoscopic intercostal nerve block
Eligibility Criteria
You may qualify if:
- adult patients, over 20 years old, u
- undergoing elective uniportal VATS lobectomy.
You may not qualify if:
- patient refusal,
- body mass index \> 35 kg/m2,
- American society of anesthesiologists (ASA) grade above 3,
- contraindication to nerve block,
- allergy to analgesic agents,
- regular opioid used for chronic pain prior to this time surgery,
- conversion to thoracotomy or VATS procedure,
- postoperative intubation,
- postoperative intensive care unit admission.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
National Cheng Kung University Hospital
Tainan, Taiwan
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Shuoying Dai
National Cheng-Kung University Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, CARE PROVIDER
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 26, 2022
First Posted
February 16, 2022
Study Start
January 5, 2021
Primary Completion
December 26, 2024
Study Completion
December 26, 2024
Last Updated
February 27, 2023
Record last verified: 2022-12