Erector Spinae Block in First Rib Resection: a Monocentric Before-after Study

NCT ID: NCT04167046

Last Updated: 2019-11-18

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

UNKNOWN

Total Enrollment

60 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-11-30

Study Completion Date

2021-03-31

Brief Summary

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First rib resection surgery for thoracic outlet syndrome is associated with an intense postoperative pain. It leads to significant consumption of nonsteroidal anti-inflammatory drugs and opioids, and hospitalization for several days.

In our center, first rib resection surgery was usually performed under general anesthesia combined with diffuse local infiltration of the axillary fossa. Erector spinae block is an interfascial block where a local anesthetic is injected between the erector spinae muscle and the transverse process, in order to obtain a multimetameric analgesia. It has now shown its efficacy and its safety in thoracic and abdominal surgeries by decreasing the morphine consumption and pain scores. Since November 2018, this erector spinae block is systematically performed preoperatively for first rib resection in our center, in association with a general anesthesia. Patient satisfaction seems important but remains to be assessed objectively.

In a before-after study, our goal is to assess the impact of the use of erector spinae block on postoperative pain in the first rib resection surgery.

Detailed Description

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Conditions

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Thoracic Surgery

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Control

Patients in this group did not receive an erector spinae block. Data are obtained retrospectively (years 2017 and 2018).

No interventions assigned to this group

Erector spinae block

Patients in this group receive an erector spinae block. Data will be obtained prospectively.

Erector spinae block

Intervention Type PROCEDURE

Preoperative erector spinae block.

Interventions

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Erector spinae block

Preoperative erector spinae block.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* First rib resection for thoracic outlet syndrome
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Angers

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Emmanuel Rineau, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Angers, France

Locations

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Département d'Anesthésie-Réanimation du CHU d'Angers

Angers, , France

Site Status

Countries

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France

Central Contacts

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Emmanuel Rineau, MD

Role: CONTACT

+33241353951

Siaudeau Hélène, MD

Role: CONTACT

+33241353951

Facility Contacts

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Emmanuel Rineau, MD

Role: primary

Other Identifiers

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2019/98

Identifier Type: -

Identifier Source: org_study_id

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