Actively Recruiting
Prospective, Randomized Study Comparing Ultrasound-Guided Erector Spinae Plane Block and Thoracoscopically-Guided Intercostal Nerve Block in Video-Assisted Thoracoscopic Surgery for Postoperative Pain
Led by Sana Klinikum Offenbach · Updated on 2026-05-01
72
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Effective pain management after thoracic surgery is crucial to prevent breathing difficulties and reduce the risk of lung complications such as atelectasis or pneumonia. This research compares two regional anesthesia methods used to manage pain after minimally invasive lung surgery called video-assisted thoracoscopic surgery (VATS) in adults. It aims to determine if an ultrasound-guided erector spinae plane block (ESPB) offers similar pain relief and opioid use compared to a thoracoscopically-guided intercostal nerve block (ICNB).
CONDITIONS
Brief Title
Ultrasound-Guided Erector Spinae Plane Block Versus Thoracoscopically-Guided Intercostal Nerve Block in Video-Assisted Thoracoscopic Surgery
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Provision of written informed consent
- Adults 18 years of age or older
- Scheduled for elective video-assisted thoracoscopic surgery (VATS) for pulmonary resection such as lobectomy, segmentectomy, or wedge resection
You will not qualify if you...
- Lack of informed consent
- Language barrier
- Pregnancy or breastfeeding
- Known allergy to local anesthetics used in the study
- Infection at the injection site(s)
- History of complex chest wall surgery
- Revision surgery within the last 6 months
- Intraoperative conversion to open thoracotomy
- Chronic pain syndrome
- Fibromyalgia
- Chronic opioid use
- Chronic alcohol abuse
- Chronic substance abuse (e.g., THC, amphetamines, cocaine)
- History of psychiatric disorders such as depression or schizophrenia
- Impaired consciousness, cognition, or ability to communicate
- Known coagulopathy or abnormal blood clotting tests
- Ongoing therapeutic anticoagulation therapy
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Perioperative period on the day of surgery
Participants receive either an ultrasound-guided erector spinae plane block before general anesthesia or a thoracoscopically-guided intercostal nerve block during surgery to manage postoperative pain.
1 surgical visit (in-person)
Duration - 24 hours post-surgery
Participants are monitored for postoperative pain and analgesic consumption within the first 24 hours after surgery.
1 follow-up visit (in-person)
Trial Site Locations
Total: 1 location
1
Sana Klinikum Offenbach
Offenbach, Hesse, Germany, 63069
Actively Recruiting
Research Team
P
Prof. Dr. H. Mutlak
E
E. Park, MD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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