Postoperative Analgesia After Minithoracotomy

NCT ID: NCT03415555

Last Updated: 2023-11-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

19 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-07

Study Completion Date

2018-04-18

Brief Summary

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Patients scheduled for minimally invasive mitral valve replacement. Each patient will be treated with intravenous (i.v.) oxycodone - patient-controlled analgesia (PCA). Half of the patients will be randomly allocated to Erector Spinae Plane (ESP) blockade group.

Detailed Description

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Only patients who are qualified for an elective procedure of mitral valve replacement may participate in the study. Each patient will be anesthetized generally. The same drugs will be used in each stage of anesthesia. The induction: etomidate, remifentanil, rocuronium, scolina as required. The maintenance: sevoflurane, remifentanil, rocuronium. The emergence: oxygen, sugammadex or neostigmine a required.

Patients will be randomly allocated into one of two groups: PCA or ESP. Among the patients from ESP group will have ESP blockade before the induction of general anesthesia. ESP blockade will be performed under ultrasound control. A single-shot technique will be used with 0.375 % solution of ropivacaine: 0.2 mL per patients' KG. The maximum dose is 40 mL.

Each patient, before the end of surgery, will be administered i.v. 0.1 mg of oxycodone. PCA with oxycodone (1mg/mL) will be utilized during the postoperative period: 5-minute interval. This is standard protocol in our department.

Only patients who are successfully awakened after the procedure may participate in the study.

The pain intensity will be assessed with visual-analogue scale (VAS) at 2, 4, 8, 12 and 24 hour after the end of anesthesia.

The total consumption of oxycodone will be also monitored.

Conditions

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Postoperative Pain Mitral Valve Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel Assignment
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
Single (Participant)

Study Groups

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ESP

Before the induction of general anesthesia, Erector Spinae Plane (ESP) blockade will be done. Postoperative analgesia is provided with intravenous oxycodone. Patient-controlled analgesia pump (PCA) will be used for this purpose.

Group Type EXPERIMENTAL

Erector Spinae Plane blockade

Intervention Type PROCEDURE

Before the beginning of the procedure, ESP blockade will be performed under ultrasound control. A single-shot technique will be used with 0.375 % solution of ropivacaine: 0.2 mL per patients' KG. The maximum dose is 40 mL.

Oxycodone

Intervention Type DRUG

Each patient, before the end of surgery, will be administered i.v. 0.1 mg of oxycodone. PCA with oxycodone (1mg/mL) will be utilized during the postoperative period: 5-minute interval.

general anesthesia

Intervention Type PROCEDURE

Each patient will generally anesthetized and endotracheal tube will be inserted

paracetamol

Intervention Type DRUG

Paracetamol will be given i.v. every 6 hours.

PCA

Postoperative analgesia is provided with intravenous oxycodone. Patient-controlled analgesia pump (PCA) will be used for this purpose. ESP will not be done in this arm.

Group Type EXPERIMENTAL

Oxycodone

Intervention Type DRUG

Each patient, before the end of surgery, will be administered i.v. 0.1 mg of oxycodone. PCA with oxycodone (1mg/mL) will be utilized during the postoperative period: 5-minute interval.

general anesthesia

Intervention Type PROCEDURE

Each patient will generally anesthetized and endotracheal tube will be inserted

paracetamol

Intervention Type DRUG

Paracetamol will be given i.v. every 6 hours.

Interventions

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Erector Spinae Plane blockade

Before the beginning of the procedure, ESP blockade will be performed under ultrasound control. A single-shot technique will be used with 0.375 % solution of ropivacaine: 0.2 mL per patients' KG. The maximum dose is 40 mL.

Intervention Type PROCEDURE

Oxycodone

Each patient, before the end of surgery, will be administered i.v. 0.1 mg of oxycodone. PCA with oxycodone (1mg/mL) will be utilized during the postoperative period: 5-minute interval.

Intervention Type DRUG

general anesthesia

Each patient will generally anesthetized and endotracheal tube will be inserted

Intervention Type PROCEDURE

paracetamol

Paracetamol will be given i.v. every 6 hours.

Intervention Type DRUG

Other Intervention Names

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ESP PCA with oxycodone GA

Eligibility Criteria

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Inclusion Criteria

* Scheduled mitral valve replacement surgery
* obtained consent

Exclusion Criteria

* allergy to oxycodone and local anesthetics
* depression, antidepressant drugs treatment
* epilepsy
* usage of painkiller before surgery
* addiction to alcohol or recreational drugs
* postoperative ventilation or ICU admission
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Rzeszow

OTHER

Sponsor Role collaborator

Medical University of Lublin

OTHER

Sponsor Role lead

Responsible Party

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Michał Borys

associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mirosław Czuczwar, M.D., PhD

Role: STUDY_CHAIR

Medical University of Lublin

Locations

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Queen Jadwiga Hospital

Rzeszów, , Poland

Site Status

Countries

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Poland

Other Identifiers

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KE-0254/26/2018

Identifier Type: -

Identifier Source: org_study_id