NCT05431062

Brief Summary

This study evaluates the analgesic effects of ultrasound-guided regional techniques, Thoracic Paravertebral Block (TPVB), Erector Spinae Plane Block (ESPB) and Serratus Anterior Plane Block(SAPB) by comparing postoperative total morphine consumption, first analgesic requirement time, and postoperative pain scores ( FLACC/NRS), postoperative chronic pain in 3rd month in pediatric patients undergoing thoracic surgery. The investigators also aim to observe the side effects of these techniques such as nausea, vomiting, bradycardia, hypotension, respiratory depression

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jul 2022

Shorter than P25 for not_applicable

Status
unknown

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

First Submitted

Initial submission to the registry

June 10, 2022

Completed
14 days until next milestone

First Posted

Study publicly available on registry

June 24, 2022

Completed
7 days until next milestone

Study Start

First participant enrolled

July 1, 2022

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2022

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2023

Completed
Last Updated

June 24, 2022

Status Verified

June 1, 2022

Enrollment Period

4 months

First QC Date

June 10, 2022

Last Update Submit

June 18, 2022

Conditions

Keywords

thoracic paravertebral blockerector spinae plane blockserratus anterior plane blockultrasound-guidedthorocotomy pain

Outcome Measures

Primary Outcomes (1)

  • Postoperative Iv Morphine Consumption

    The total dosage of iv morphine consumption in 24 hours.

    Up to 24 hours

Secondary Outcomes (9)

  • Face, Legs Avtivity, Cry, Consolability (FLACC) scores

    Up to 48 hours

  • Postoperative NRS Score (Numeric Rating Scale)

    Up to 48 hours

  • Time of Postoperative First Analgesic Requirement Time

    Up to 48 hours

  • Additional IV Paracetamol Dosage In The Postoperative Period

    Up to 48 hours

  • Intraoperative Heart Rate (beat/min)

    Intraoperative Period

  • +4 more secondary outcomes

Other Outcomes (9)

  • Incidence of PONV (postoperative nausea and vomiting)

    Up to 48 hours

  • Respiratuar Depression

    Up to 48 hours

  • Postoperative sedation scale

    Up to 48 hours

  • +6 more other outcomes

Study Arms (3)

Thoracic paravertebral block

ACTIVE COMPARATOR

USG guided TPVB will be performed with 0.5 mL/kg %0.25 Buvicaine in the paravertebral space.

Drug: Bupivacain

Erector spinae plane block

ACTIVE COMPARATOR

USG guided ESPB will be performed with 0.5 mL/kg %0.25 Buvicaine into the facial plane between erector spine muscle and transverse process

Drug: Bupivacain

Serratus anterior plane block

ACTIVE COMPARATOR

USG guided ESPB will be performed with 0.5 mL/kg %0.25 Buvicaine into the facial plane between serratus anterior muscle and external intercostal muscles

Drug: Bupivacain

Interventions

%0.25

Also known as: Marcaine
Erector spinae plane blockSerratus anterior plane blockThoracic paravertebral block

Eligibility Criteria

Age1 Year - 14 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • age patients undergoing thoracic surgery, ASA 1-2-3, Patients without chronic opioid use

You may not qualify if:

  • Denial of patient or parents, Infection of the local anaesthetic area, Infection of the central nervous system, Coagulopathy, Brain tumours, Known allergy against local anaesthetics.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Interventions

Bupivacaine

Intervention Hierarchy (Ancestors)

AnilidesAmidesOrganic ChemicalsAniline CompoundsAmines

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
SCREENING
Intervention Model
PARALLEL
Model Details: Prospective Observational Study
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
associated professor

Study Record Dates

First Submitted

June 10, 2022

First Posted

June 24, 2022

Study Start

July 1, 2022

Primary Completion

November 1, 2022

Study Completion

April 1, 2023

Last Updated

June 24, 2022

Record last verified: 2022-06