Status:
COMPLETED
Erector Spinae Plane Block For Analgesia Following Video-Assisted Thoracoscopic Surgery
Lead Sponsor:
Ciusss de L'Est de l'Île de Montréal
Conditions:
Thoracic Surgery, Video-Assisted
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Erector spinae (ESP) block is a recently described plane block designed to block the dorsal and ventral rami of the thoracic spinal nerves. It is meant to block the ipsilateral trunk. The aim of the s...
Detailed Description
A growing number of thoracic surgeries are performed with a minimally invasive approach called video-assisted thoracoscopic surgery (VATS). VATS has reduced the incision size, the postoperative pain a...
Eligibility Criteria
Inclusion
- • Patients \> 18 years old with to ASA status I-III, undergoing VATS for lobectomy or wedge.
- Non-inclusion Criteria:
- \< 18 years old
- BMI \> 35
- Chronic pain history with regular opioid and/or gabapentinoids use during the 2 weeks before surgery
- Regular marijuana use
- History of thoracic surgery on the operated side
- Epidural analgesia preferred due to an anticipated high risk of conversion to thoracotomy
- Unable to communicate with the investigators
- Receiving anticoagulation or experiencing any bleeding disorder
- Surgery for empyema and sympathectomy
- Known allergy to local anesthetics, fentanyl or hydromorphone
- Active infection at injection sites
- Preexisting neurological deficit or psychiatric illness
- Severe cardiovascular disease
- Liver failure
- Renal failure (estimated glomerular filtration rate \<15 mL/ min/1.73 m2)
- Pregnancy
Exclusion
- Perioperative conversion to thoracotomy
- Severe intra- or postoperative bleeding
- Patients requiring postoperative mechanical ventilation
- Technical inability to proceed with the blocks
Key Trial Info
Start Date :
November 29 2018
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
December 16 2021
Estimated Enrollment :
52 Patients enrolled
Trial Details
Trial ID
NCT03860480
Start Date
November 29 2018
End Date
December 16 2021
Last Update
February 20 2024
Active Locations (1)
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1
Maisonneuve-Rosemont Hospital
Montreal, Quebec, Canada, H1T 2M4