Comparison of Thoracic Paravertebral Block and Pectoral Nerve Block

Comparison of the Results of Ultrasound-Guided Thoracic Paravertebral Block and Modified Pectoral Nerve Block for Postoperative Analgesia in Video-Assisted Thoracoscopic Surgery; A Prospective, Randomized Controlled Study

Sponsors

Lead Sponsor: Bakirkoy Dr. Sadi Konuk Research and Training Hospital

Source Bakirkoy Dr. Sadi Konuk Research and Training Hospital
Brief Summary

This study aims to compare the efficacy and safety of ultrasound-guidedPECS II block with TPVB for postoperative analgesia after VATS.

Detailed Description

52 patients (ASA I-III) between 18 and 65 years of age, who were to undergo VATS, were randomized and divided into two groups. (26 patients in each of the PECS and TPVB groups) Thoracic paravertebral block was administered from two consecutive levels for TPVB group and a modified pectoral nerve block was performed in the PECS group. Postoperative analgesia was provided by intravenous morphine infusion using a patient-controlled analgesia device. Postoperative 24-hour total morphine consumption and duration of analgesia were the primary outcome measure. Perioperative remifentanil use, visual analog scale values during at rest and coughing, time of the first analgesic request, and additional analgesic consumption were recorded.

Overall Status Completed
Start Date 2017-06-28
Completion Date 2018-08-28
Primary Completion Date 2018-08-28
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Postoperative 24-hours total morphine consumption of patients 24 hours postoperatively
Secondary Outcome
Measure Time Frame
VAS scores of patients 24 hours postoperatively
Enrollment 52
Condition
Intervention

Intervention Type: Procedure

Intervention Name: paravertebral block

Description: The investigators performed Paravertebral block to that patient group for postoperative analgesia

Arm Group Label: paravertebral group

Intervention Type: Procedure

Intervention Name: pectoral block

Description: The investigators performed pectoral block to that patient group for postoperative analgesia

Arm Group Label: pectoral group

Eligibility

Criteria:

Inclusion Criteria: - Ages of 18-65 - Patients who will undergo VATS - ASA I-II-III patients Exclusion Criteria: - Patients with ASA IV - Clinically diagnosis of spinal or chest wall deformity or pathology - Clinically known local anesthetic allergy - Morbid obesity (body mass index>40 kg m2) - Clinically diagnosis of opioid, alcohol and substance dependence - Clinically diagnosis of psychiatric disease - Coagulopathy

Gender:

All

Minimum Age:

18 Years

Maximum Age:

65 Years

Healthy Volunteers:

No

Overall Official
Last Name Role Affiliation
Gokhan Sertcakacilar, MD Study Director Bakirkoy Dr. Sadi Konuk Research and Training Hospital
Location
Facility: Bakirkoy Dr. Sadi Konuk Research and Training Hospital
Location Countries

Turkey

Verification Date

2021-04-01

Responsible Party

Type: Principal Investigator

Investigator Affiliation: Bakirkoy Dr. Sadi Konuk Research and Training Hospital

Investigator Full Name: Gökhan Sertçakacılar

Investigator Title: Principal Investigator, MD

Keywords
Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Label: paravertebral group

Type: Active Comparator

Description: The investigators performed Paravertebral block to that patient group for postoperative analgesia

Label: pectoral group

Type: Active Comparator

Description: The investigators performed pectoral block to that patient group for postoperative analgesia

Patient Data No
Study Design Info

Allocation: Randomized

Intervention Model: Parallel Assignment

Primary Purpose: Supportive Care

Masking: Single (Participant)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact [email protected]. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Clinical Research News