Preemptive ultrasound-guided paravertebral block and immediate postoperative lung function.
Robina Matyal, Mario Montealegre-Gallegos, Marc Shnider...
https://pubmed.ncbi.nlm.nih.gov/24980146Actively Recruiting
Age: 18Years - 65Years
All Genders
ID06584201
Effects of Erector Spina Plane Block and Paravertebral Block on Early Postoperative Pulmonary Function Test Parameters in Patients Undergoing Video-assisted Thoracoscopic Surgery
Led by Başakşehir Çam & Sakura City Hospital · Updated on 2024-09-04
70
Participants Needed
1
Research Sites
4 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to compare two pain relief methods, Erector Spinae Plane Block (ESP) and Paravertebral Block (PVB), for patients undergoing minimally invasive chest surgery called Video-assisted Thoracoscopic Surgery (VATS). The study focuses on how these methods affect early lung function after surgery, since pain can make deep breathing difficult and lead to lung problems like collapse and infection, which prolong recovery. Effective pain control is important to help participants breathe better and reduce complications. Participants will receive either the ESP or PVB block before their VATS procedure. Both blocks are performed using ultrasound guidance to ensure precise placement. These regional nerve blocks aim to manage postoperative pain and help preserve lung function. The study compares which block results in smaller changes in lung function tests taken before surgery and at several timepoints after surgery. During the study, lung function tests measuring Forced Vital Capacity, Forced Expiratory Volume, and Peak Expiratory Flow will be done before surgery, and at 0, 6, 24 hours, and before discharge. Pain levels will be assessed using a visual pain scale at multiple times after surgery, along with total narcotic use recorded through patient-controlled analgesia (PCA). Researchers will also evaluate participant satisfaction and monitor side effects like nausea. The average hospital stay is about two days, and all these measures help assess pain control effectiveness and lung function recovery.
CONDITIONS
Brief Title
Effects of Erector Spina Plane Block and Paravertebral Block on Early Postoperative Pulmonary Function Test Parameters
Who Can Participate
Age: 18Years - 65Years
All Genders
Eligibility Criteria
You may qualify if you...
- Both genders
- Age between 18 and 65 years
- ASA (American Society of Anesthesiologists) class I, II, or III
- Body mass index between 19 and 30 kg/m2
- Voluntary participation
- Fully oriented and able to cooperate
You will not qualify if you...
- ASA class IV or V
- Refusal to participate
- Under 18 years of age
- Over 65 years of age
- Active infection in the treatment area
- Chronic pain and continuous use of analgesics
- Coagulation disorders
- Inability to cooperate with postoperative pain follow-up
- Urgent surgery cases
- Severe renal failure (creatinine >2 mg/dl)
- Severe heart function impairment (NYHA class III or IV)
- Known allergy to bupivacaine or other amide local anesthetics
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Surgery and Immediate Post-operative Care
Duration - Hospital stay of approximately 2 days
Participants undergo video-assisted thoracoscopic surgery (VATS). The Erector Spinae Plane Block (ESP) or Paravertebral Block (PVB) is administered before surgery to manage postoperative pain.
1 surgical visit and continuous post-operative monitoring
Post-operative Follow-up
Duration - Up to 3 days including the hospital stay and discharge
Participants' respiratory function tests and pain scores are monitored at 0, 6, and 24 hours after surgery, as well as before discharge. Total narcotic analgesic consumption is recorded during the first 24 hours post-surgery.
Multiple assessments during hospital stay including respiratory tests and pain score evaluations
Trial Site Locations
Total: 1 location
1
Basaksehir Çam Ve Sakura City Hospital
Istanbul, Turkey (Türkiye)
Actively Recruiting
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Research Team
Ö
ÖZAL ADIYEKE
A
ALİ KAHVECİOĞLU
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
2
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Wei Gao, Xin-Lu Yang, Ji-Cheng Hu...
https://pubmed.ncbi.nlm.nih.gov/33667460Postoperative Analgesic Efficacy of Thoracic Paravertebral Block and Erector Spinae Plane Block Combination in Video-Assisted Thoracic Surgery.
Musa Zengin, Ramazan Baldemir, Gulay Ulger...
https://pubmed.ncbi.nlm.nih.gov/34277232