Status:
COMPLETED
Erector Spinae Plane vs. Paravertebral Nerve Block for Thoracic Surgery
Lead Sponsor:
Charles Luke
Conditions:
Thoracic Surgical Procedures
Eligibility:
All Genders
18+ years
Phase:
PHASE4
Brief Summary
Continuous paravertebral analgesia and erector spinae plane blockade (ESP) are accepted techniques at University of Pittsburgh Medical Center (UPMC) for the management of thoracic pain following surge...
Detailed Description
Background and significance: Multimodal analgesia for thoracic surgery is key to allow faster recovery and diminish postoperative complications. Paravertebral nerve blocks as well as epidurals are am...
Eligibility Criteria
Inclusion
- Inclusion criteria:
- Patients undergoing VATS agreeable to have a nerve block as analgesic technique
- Age: 18 years old and older.
- ASA (American Society of Anesthesiologists Class) I-IV
- Exclusion criteria:
- Cognitive impairment that would not allow effective nerve block placement or gathering information related to the study (ex. pain score).
- Contraindications for nerve block placement such as coagulopathy, use of clopidogrel in the past 48hs, patients on dual antiplatelet therapy, infection at the site of puncture, patient refusal, allergy to local anesthetics.
- Chronic opiate consumption
- Patient expected to be on therapeutic anticoagulation post procedure.
- Pregnancy
- Comorbid conditions: Any comorbid condition that in the judgment of the anesthesiologist would preclude the patient from any aspect of the study (ex. sepsis, possibly abnormalities of the thoracic spine or paravertebral anatomy such as neoplastic mass occupying the space, empyema, increased intracranial pressure)
Exclusion
Key Trial Info
Start Date :
March 11 2019
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
June 25 2020
Estimated Enrollment :
35 Patients enrolled
Trial Details
Trial ID
NCT03758261
Start Date
March 11 2019
End Date
June 25 2020
Last Update
July 3 2023
Active Locations (1)
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1
UPMC Passavant
Pittsburgh, Pennsylvania, United States, 15237