Local Anesthetic as Single Shot Versus Catheter in Patients Undergoing Video Assisted Thoracoscopic Surgery
Single Shot Liposomal Bupivacaine (EXPAREL®)/Bupivicaine) Versus Continuous Erector Spinae Plane Block Catheter in Patients Undergoing Video Assisted Thoracoscopic (VAT) Surgery; Single Center, Non Inferiority, Open Label, Randomized Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Poovendran Saththasivam, MD
- Phone Number: 570-887-4676
- Email: Poovendran.Saththasivam@guthrie.org
Study Contact Backup
- Name: Nathaniel McElhaney, MD
- Phone Number: 570-887-2300
- Email: Nathaniel.McElhaney@guthrie.org
Study Locations
-
-
Pennsylvania
-
Sayre, Pennsylvania, United States, 18840
- Robert Packer Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subjects who are age > 18, undergoing video thoracoscopic surgery and following Guthrie Robert Packer Hospital's Enhanced Recovery After Surgery (ERAS) protocol for Thoracic Surgery.
Exclusion Criteria:
- weight < 50 kg, pregnant subjects,
- left ventricular ejection fraction < 30%,
- history of drug or narcotic abuse,
- history of allergic to amide local anesthetic,
- presence of contraindication for erector spinae plane block (local skin infection, sepsis, severe coagulopathy)
- unable to provide consent,
- unable to use pain rating scales as demonstrated by verbal feedback
- preoperative chronic pain on narcotics,
- history of renal insufficiency ( Creatinine > 1.5 mg/dl),
- preoperative mild liver impairment ( i.e. AST/ALT above 1.5 times the upper normal limit)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Single Shot Liposomal Bupivacaine (EXPAREL®)/Bupivacaine
Single Shot Liposomal Bupivacaine (EXPAREL®)/Bupivacaine for erector spinae block as local anesthetic
|
Single shot for erector spinae block
Other Names:
|
|
Active Comparator: Continuous catheter infusion ropivacaine
Ropivacaine (0.5% bolus followed by 0.2% infusion) using a continuous catheter for erector spinae plane block as local anesthetic
|
Continuous catheter infusion for erector spinae plane block
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Numeric Rated Pain Scale at Rest 0-4 Hours Post-operative
Time Frame: 0-4 hours post operative
|
Patient reported pain scale (0-10) with zero (0) meaning "no pain" and ten (10) meaning "the worst pain imaginable
|
0-4 hours post operative
|
|
Numeric Rated Pain Scale at Rest 4-8 Hours Post-operative
Time Frame: 4-8 hours post operative
|
Patient reported pain scale (0-10) with zero (0) meaning "no pain" and ten (10) meaning "the worst pain imaginable
|
4-8 hours post operative
|
|
Numeric Rated Pain Scale at Rest 8-12 Hours Post-operative
Time Frame: 8-12 hours post operative
|
Patient reported pain scale (0-10) with zero (0) meaning "no pain" and ten (10) meaning "the worst pain imaginable
|
8-12 hours post operative
|
|
Numeric Rated Pain Scale at Rest 12-24 Hours Post-operative
Time Frame: 12-24 hours post operative
|
Patient reported pain scale (0-10) with zero (0) meaning "no pain" and ten (10) meaning "the worst pain imaginable
|
12-24 hours post operative
|
|
Numeric Rated Pain Scale at Rest 24-48 Hours Post-operative
Time Frame: 2 days post operative
|
Patient reported pain scale (0-10) with zero (0) meaning "no pain" and ten (10) meaning "the worst pain imaginable
|
2 days post operative
|
|
Numeric Rated Pain Scale 48-72 Hours Post-operative
Time Frame: 3 days post-operative
|
Patient reported pain scale (0-10) with zero (0) meaning "no pain" and ten (10) meaning "the worst pain imaginable
|
3 days post-operative
|
|
Numeric Rated Pain Scale With Cough 0-4 Hours Post-operative
Time Frame: 0-4 hours post-operative
|
Patient reported pain with cough on a scale (0-10) with zero (0) meaning "no pain" and ten (10) meaning "the worst pain imaginable
|
0-4 hours post-operative
|
|
Numeric Rated Pain Scale With Cough 4-8 Hours Post-operative
Time Frame: 4-8 hours post-operative
|
Patient reported pain with cough on a scale (0-10) with zero (0) meaning "no pain" and ten (10) meaning "the worst pain imaginable
|
4-8 hours post-operative
|
|
Numeric Rated Pain Scale With Cough 8-12 Hours Post-operative
Time Frame: 8-12 hours post-operative
|
Patient reported pain with cough on a scale (0-10) with zero (0) meaning "no pain" and ten (10) meaning "the worst pain imaginable
|
8-12 hours post-operative
|
|
Numeric Rated Pain Scale With Cough 12-24 Hours Post-operative
Time Frame: 12-24 hours post-operative
|
Patient reported pain with cough on a scale (0-10) with zero (0) meaning "no pain" and ten (10) meaning "the worst pain imaginable
|
12-24 hours post-operative
|
|
Numeric Rated Pain Scale With Cough 24-48 Hours Post-operative
Time Frame: 24-48 hours post-operative
|
Patient reported pain with cough on a scale (0-10) with zero (0) meaning "no pain" and ten (10) meaning "the worst pain imaginable
|
24-48 hours post-operative
|
|
Numeric Rated Pain Scale With Cough 48-72 Hours Post-operative
Time Frame: 48-72 hours post-operative
|
Patient reported pain with cough on a scale (0-10) with zero (0) meaning "no pain" and ten (10) meaning "the worst pain imaginable
|
48-72 hours post-operative
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Opioid Consumption in Morphine Equivalent Dose 0-4 Hours Post-operative
Time Frame: 0-4 hours post-operative
|
Post-operative opioid consumption in morphine equivalent dose (MED) to determine total opioid medications given in the time period.
MED is a standard conversion factor developed by the United States Centers for Disease Control and Prevention (CDC).
The MED equates the many different opioids into a standard value that is based on morphine and its potency.
|
0-4 hours post-operative
|
|
Opioid Consumption in Morphine Equivalent Dose 4-8 Hours Post-operative
Time Frame: 4-8 hours post-operative
|
Post-operative opioid consumption in morphine equivalent dose (MED) to determine total opioid medications given in the time period.
MED is a standard conversion factor developed by the United States Centers for Disease Control and Prevention (CDC).
The MED equates the many different opioids into a standard value that is based on morphine and its potency.
|
4-8 hours post-operative
|
|
Opioid Consumption in Morphine Equivalent Dose 8-16 Hours Post-operative
Time Frame: 8-16 hours post-operative
|
Post-operative opioid consumption in morphine equivalent dose (MED) to determine total opioid medications given in the time period.
MED is a standard conversion factor developed by the United States Centers for Disease Control and Prevention (CDC).
The MED equates the many different opioids into a standard value that is based on morphine and its potency.
|
8-16 hours post-operative
|
|
Opioid Consumption in Morphine Equivalent Dose 16-24 Hours Post-operative
Time Frame: 16-24 hours post-operative
|
Post-operative opioid consumption in morphine equivalent dose (MED to determine total opioid medications given in the time period.
MED is a standard conversion factor developed by the United States Centers for Disease Control and Prevention (CDC).
The MED equates the many different opioids into a standard value that is based on morphine and its potency.
|
16-24 hours post-operative
|
|
Opioid Consumption in Morphine Equivalent Dose 24-48 Hours Post-operative
Time Frame: 24-48 hours post-operative
|
Post-operative opioid consumption in morphine equivalent dose (MED) to determine total opioid medications given in the time period.
MED is a standard conversion factor developed by the United States Centers for Disease Control and Prevention (CDC).
The MED equates the many different opioids into a standard value that is based on morphine and its potency.
|
24-48 hours post-operative
|
|
Opioid Consumption in Morphine Equivalent Dose 48-72 Hours Post-operative
Time Frame: 48-72 hours post-operative
|
Post-operative opioid consumption in morphine equivalent dose (MED) to determine total opioid medications given in the time period.
MED is a standard conversion factor developed by the United States Centers for Disease Control and Prevention (CDC).
The MED equates the many different opioids into a standard value that is based on morphine and its potency.
|
48-72 hours post-operative
|
|
Total Intraoperative Opioid Consumption in Morphine Equivalent Dose
Time Frame: From start of surgery to end of surgery, an average of 2-3 hours
|
Total opioids administered in morphine equivalent dose (MED) in the operating room during the surgery.
MED is a standard conversion factor developed by the United States Centers for Disease Control and Prevention (CDC).
The MED equates the many different opioids into a standard value that is based on morphine and its potency.
|
From start of surgery to end of surgery, an average of 2-3 hours
|
|
Acetaminophen Consumption in Milligrams 0-4 Hours Post-operative
Time Frame: 0-4 hours post-operative
|
Acetaminophen is a pain medication that is not an opioid.
The acetaminophen use in milligrams will be compared in each group at different time points.
|
0-4 hours post-operative
|
|
Acetaminophen Consumption in Milligrams 4-8 Hours Post-operative
Time Frame: 4-8 hours post-operative
|
Acetaminophen is a pain medication that is not an opioid.
The acetaminophen use in milligrams will be compared in each group at different time points.
|
4-8 hours post-operative
|
|
Acetaminophen Consumption in Milligrams 8-16 Hours Post-operative
Time Frame: 8-16 hours post-operative
|
Acetaminophen is a pain medication that is not an opioid.
The acetaminophen use in milligrams will be compared in each group at different time points.
|
8-16 hours post-operative
|
|
Acetaminophen Consumption in Milligrams 16-24 Hours Post-operative
Time Frame: 16-24 hours post-operative
|
Acetaminophen is a pain medication that is not an opioid.
The acetaminophen use in milligrams will be compared in each group at different time points.
|
16-24 hours post-operative
|
|
Acetaminophen Consumption in Milligrams 24-48 Hours Post-operative
Time Frame: 24-48 hours post-operative
|
Acetaminophen is a pain medication that is not an opioid.
The acetaminophen use in milligrams will be compared in each group at different time points.
|
24-48 hours post-operative
|
|
Acetaminophen Consumption in Milligrams 48-72 Hours Post-operative
Time Frame: 48-72 hours post-operative
|
Acetaminophen is a pain medication that is not an opioid.
The acetaminophen use in milligrams will be compared in each group at different time points.
|
48-72 hours post-operative
|
|
Gabapentin Consumption in Milligrams 0-4 Hours Post-operative
Time Frame: 0-4 hours post-operative
|
Gabapentin is a pain medication that is not an opioid.
The gabapentin use in milligrams will be compared in each group at different time points.
|
0-4 hours post-operative
|
|
Gabapentin Consumption in Milligrams 4-8 Hours Post-operative
Time Frame: 4-8 hours post-operative
|
Gabapentin is a pain medication that is not an opioid.
The gabapentin use in milligrams will be compared in each group at different time points.
|
4-8 hours post-operative
|
|
Gabapentin Consumption in Milligrams 8-16 Hours Post-operative
Time Frame: 8-16 hours post-operative
|
Gabapentin is a pain medication that is not an opioid.
The gabapentin use in milligrams will be compared in each group at different time points.
|
8-16 hours post-operative
|
|
Gabapentin Consumption in Milligrams 16-24 Hours Post-operative
Time Frame: 16-24 hours post-operative
|
Gabapentin is a pain medication that is not an opioid.
The gabapentin use in milligrams will be compared in each group at different time points.
|
16-24 hours post-operative
|
|
Gabapentin Consumption in Milligrams 24-48 Hours Post-operative
Time Frame: 24-48 hours post-operative
|
Gabapentin is a pain medication that is not an opioid.
The gabapentin use in milligrams will be compared in each group at different time points.
|
24-48 hours post-operative
|
|
Gabapentin Consumption in Milligrams 48-72 Hours Post-operative
Time Frame: 48-72 hours post-operative
|
Gabapentin is a pain medication that is not an opioid.
The gabapentin use in milligrams will be compared in each group at different time points.
|
48-72 hours post-operative
|
|
Ketorolac Consumption in Milligrams 0-4 Hours Post-operative
Time Frame: 0-4 hours post-operative
|
The ketorolac use in milligrams will be compared in each group at different time points.
|
0-4 hours post-operative
|
|
Ketorolac Consumption in Milligrams 4-8 Hours Post-operative
Time Frame: 4-8 hours post-operative
|
The ketorolac use in milligrams will be compared in each group at different time points.
|
4-8 hours post-operative
|
|
Ketorolac Consumption in Milligrams 8-16 Hours Post-operative
Time Frame: 8-16 hours post-operative
|
The ketorolac use in milligrams will be compared in each group at different time points.
|
8-16 hours post-operative
|
|
Ketorolac Consumption in Milligrams 16-24 Hours Post-operative
Time Frame: 16-24 hours post-operative
|
The ketorolac use in milligrams will be compared in each group at different time points.
|
16-24 hours post-operative
|
|
Ketorolac Consumption in Milligrams 24-48 Hours Post-operative
Time Frame: 24-48 hours post-operative.
|
The ketorolac use in milligrams will be compared in each group at different time points.
|
24-48 hours post-operative.
|
|
Ketorolac Consumption in Milligrams 48-72 Hours Post-operative
Time Frame: 48-72 hours post-operative
|
Ketorolac is a pain medication that is not an opioid.
The ketorolac use in milligrams will be compared in each group at different time points.
|
48-72 hours post-operative
|
|
Postoperative Quality of Recovery Score (QOR-15) 12-24 Hours Post-operative
Time Frame: 12-24 hours post-operative
|
A survey on patient reported outcomes which consists of 15 questions related to five domains of patient reported health status (pain, physical comfort, physical independence, psychological support and emotional state).
The score is reported on a scale from 0 to 150 with higher scores meaning a better outcome.
|
12-24 hours post-operative
|
|
Postoperative Quality of Recovery Score (QOR-15) 24 to 48 Hours Post-operative
Time Frame: 24-48 hours post-operative
|
A survey on patient reported outcomes which consists of 15 questions related to five domains of patient reported health status (pain, physical comfort, physical independence, psychological support and emotional state).
The score is reported on a scale from 0 to 150 with higher scores meaning a better outcome.
|
24-48 hours post-operative
|
|
Postoperative Quality of Recovery Score (QOR-15) 48 to 72 Hours Post-operative
Time Frame: 48-72 hours post-operative
|
A survey on patient reported outcomes which consists of 15 questions related to five domains of patient reported health status (pain, physical comfort, physical independence, psychological support and emotional state).
The score is reported on a scale from 0 to 150 with higher scores meaning a better outcome.
|
48-72 hours post-operative
|
|
Post-operative Incentive Spirometry Changes From Preoperative Baseline at 0-4 Hours Post-operative
Time Frame: 0-4 hours post-operative
|
Incentive spirometry measures how much air you can inhale, which can help indicate how well your lungs are working after surgery.
Incentive spirometry measures the volume (or amount) of air you inhale measured in cubic centimeters (cc).
Higher numbers indicate that you're inhaling more air.
This measure will be the change in incentive spirometry from baseline (baseline incentive spirometry - incentive spirometry 0 to 4 hours post-operative).
A negative number reflects reduced volume of air.
|
0-4 hours post-operative
|
|
Post-operative Incentive Spirometry Changes From Preoperative Baseline at 4-8 Hours Post-operative
Time Frame: 4-8 hours post-operative
|
Incentive spirometry measures how much air you can inhale, which can help indicate how well your lungs are working after surgery.
Incentive spirometry measures the volume (or amount) of air you inhale measured in cubic centimeters (cc).
Higher numbers indicate that you're inhaling more air.
This measure will be the change in incentive spirometry from baseline (baseline incentive spirometry - incentive spirometry 4 to 8 hours post-operative).
A negative number reflects reduced volume of air.
|
4-8 hours post-operative
|
|
Post-operative Incentive Spirometry Changes From Preoperative Baseline at 8-12 Hours Post-operative
Time Frame: 8-12 hours post-operative
|
Incentive spirometry measures how much air you can inhale, which can help indicate how well your lungs are working after surgery.
Incentive spirometry measures the volume (or amount) of air you inhale measured in cubic centimeters (cc).
Higher numbers indicate that you're inhaling more air.
This measure will be the change in incentive spirometry from baseline (baseline incentive spirometry - incentive spirometry 8 to 12 hours post-operative).
A negative number reflects reduced volume of air.
|
8-12 hours post-operative
|
|
Post-operative Incentive Spirometry Changes From Preoperative Baseline at 12-24 Hours Post-operative
Time Frame: 12-24 hours post-operative
|
Incentive spirometry measures how much air you can inhale, which can help indicate how well your lungs are working after surgery.
Incentive spirometry measures the volume (or amount) of air you inhale measured in cubic centimeters (cc).
Higher numbers indicate that you're inhaling more air.
This measure will be the change in incentive spirometry from baseline (baseline incentive spirometry - incentive spirometry 12 to 24 hours post-operative).
A negative number reflects reduced volume of air.
|
12-24 hours post-operative
|
|
Post-operative Incentive Spirometry Changes From Preoperative Baseline at 24-48 Hours Post-operative
Time Frame: 24-48 hours post-operative
|
Incentive spirometry measures how much air you can inhale, which can help indicate how well your lungs are working after surgery.
Incentive spirometry measures the volume (or amount) of air you inhale measured in cubic centimeters (cc).
Higher numbers indicate that you're inhaling more air.
This measure will be the change in incentive spirometry from baseline (baseline incentive spirometry - incentive spirometry 24 to 48 hours post-operative).
A negative number reflects reduced volume of air.
|
24-48 hours post-operative
|
|
Post-operative Incentive Spirometry Changes From Preoperative Baseline at 48-72 Hours Post-operative
Time Frame: 48-72 hours post-operative
|
Incentive spirometry measures how much air you can inhale, which can help indicate how well your lungs are working after surgery.
Incentive spirometry measures the volume (or amount) of air you inhale measured in cubic centimeters (cc).
Higher numbers indicate that you're inhaling more air.
This measure will be the change in incentive spirometry from baseline (baseline incentive spirometry - incentive spirometry 48 to 72 hours post-operative).
A negative number reflects reduced volume of air.
|
48-72 hours post-operative
|
|
Length of Hospital Stay
Time Frame: From date of admission until date of discharge, an average of 72 hours
|
Number of hours from admission to discharge
|
From date of admission until date of discharge, an average of 72 hours
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Poovendran Saththasivam, MD, The Guthrie Clinic
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2007-48
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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