- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT05061667
Thoracic Paravertebral Block Versus Rhomboid Block for Postoperative Pain Control in Thoracic Surgeries
19. januar 2022 opdateret af: Koç University
The main aim of this study is to compare thoracic paravertebral block and rhomboid block for postoperative analgesia and analgesic usage in thoracic surgeries.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Patients with scheduled thoracic surgery are going to be enrolled for this study.
Patients will be randomized and separated in two groups.
Group I will receive thoracic paravertebral block, group II will receive rhomboid block.
Each group will receive patient controlled analgesia with intravenous fentanyl.
Patients will be monitored at postoperative 1st, 3rd, 6th, 12th, 24th hours and their VAS scores, adverse reactions like nausea and vomiting, total analgesic usage, additional analgesic need and time of the first report of pain will be filed.
Then the two groups will be compared and evaluated.
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
88
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
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Istanbul, Kalkun, 34010
- Koc University
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år til 75 år (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- Patients scheduled for general thoracic surgery
- ASA I-III
Exclusion Criteria:
- Patients without consent
- Emergency surgeries
- Pregnancy
- Coagulopathies and bleeding diathesis
- Allergy to local anesthetics
- Local skin infection at the puncture site
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Aktiv komparator: Group I
Group I will consist of randomly assigned patients scheduled for thoracic surgery.
These patients will recieve paravertebral block which is already proven to be effective in postoperative pain.
After applying standart monitors to the patient and proper positioning in the operating room, paravertebral block will be performed at the planned surgical side using high frequency (8-18 MHz) linear probe of GE Logiq S7 (General Electric Healthcare, Little Chalfont, United Kingdom).
20 ml of 0.25% bupivacaine will be administered into the paravertebral space at T5-T6 vertebra levels using a 50 mm 22 G block needle (BBraun, Melsungen, Germany).
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Paravertebral block for postoperative analgesia in thoracic surgery
Andre navne:
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Eksperimentel: Group II
Group II will consist of randomly assigned patients scheduled for thoracic surgery.
These patients will recieve rhomboid block which is being experimented for its efficacy in postoperative pain.
After applying standart monitors to the patient and proper positioning in the operating room, rhomboid block will be performed at the planned surgical side using high frequency (8-18 MHz) linear probe of GE Logiq S7 (General Electric Healthcare, Little Chalfont, United Kingdom).
20 ml of 0.25% bupivacaine will be administered into the plane between rhomboid muscle and intercostal muscles, medial to scapula at T5-T6 vertebra levels using a 50 mm 22 G block needle (BBraun, Melsungen, Germany).
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Rhomboid block for postoperative analgesia in thoracic surgery
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Difference in Visual Analogue Scale (VAS) scores between two groups
Tidsramme: 24 hours
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Statistically significant difference in VAS scores at 1st, 3rd, 6th, 12th, 24th hours between two groups.
On a scale of 0 to 10, where 0 means no pain and 10 means the worst imaginable pain.
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24 hours
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Difference in additional analgesic usage between two groups
Tidsramme: 24 hours
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Intravenous patient controlled analgesia usage and additional analgesic dosages will be filed as miligrams or micrograms at 1st, 3rd, 6th, 12th, 24th hours.
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24 hours
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Incidence of nausea and vomiting
Tidsramme: 24 hours
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Incidence of symptoms like nausea and vomiting will be filed at 1st, 3rd, 6th, 12th, 24th hours.
On a scale of 0 to 1, where 0 means no symptoms and 1 means nausea and vomiting.
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24 hours
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Patient satisfaction
Tidsramme: 24 hours
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Patient will be reevaluated at 24th hour for analgesic satisfaction.
On a scale of 0 to 3, where 0 means not satisfied and 3 means satisfied.
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24 hours
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Generelle publikationer
- Ciftci B, Ekinci M, Atalay YO. Ultrasound-guided rhomboid intercostal block provides effective pain control after video-assisted thoracoscopic surgery: a brief report of three cases. Korean J Anesthesiol. 2021 Aug;74(4):355-357. doi: 10.4097/kja.20538. Epub 2020 Nov 17. No abstract available.
- Longo F, Piliego C, Martuscelli M, Tomaselli E, Crucitti P, Longo F, Agro FE. Rhomboid intercostal and subserratus plane block for intubated uniportal video-assisted thoracoscopic surgery lobectomy. J Clin Anesth. 2020 Oct;65:109881. doi: 10.1016/j.jclinane.2020.109881. Epub 2020 May 26. No abstract available.
- Longo F, Piliego C. Rhomboid intercostal and subserratus plane block for non-intubated video-assisted thoracoscopic surgery. J Clin Anesth. 2020 May;61:109612. doi: 10.1016/j.jclinane.2019.09.006. Epub 2019 Oct 24. No abstract available. Erratum In: J Clin Anesth. 2020 Aug;63:109789.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Faktiske)
1. januar 2021
Primær færdiggørelse (Faktiske)
1. november 2021
Studieafslutning (Faktiske)
15. december 2021
Datoer for studieregistrering
Først indsendt
22. september 2021
Først indsendt, der opfyldte QC-kriterier
22. september 2021
Først opslået (Faktiske)
29. september 2021
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
20. januar 2022
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
19. januar 2022
Sidst verificeret
1. maj 2021
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 2021.066.IRB1.022
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
JA
IPD-planbeskrivelse
Data collected for the study, including de-identified individual participant data will be made available to other within 6 months after the publication of this trial, as will additional related documents (study protocol, statistical analysis plan and informed consent form), for academic purposes (e.g., meta-analyses), upon request to the corresponding author, and with a signed data access agreement.
IPD-delingstidsramme
6 months after the publication
IPD-delingsadgangskriterier
Academic purposes
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Ingen
Studerer et amerikansk FDA-reguleret enhedsprodukt
Ingen
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