Ultrasound-Guided Serratus Anterior Plane Block in Pneumothorax Surgery
NCT ID: NCT04191850
Last Updated: 2019-12-10
Study Results
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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UNKNOWN
NA
54 participants
INTERVENTIONAL
2018-02-01
2020-01-31
Brief Summary
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Detailed Description
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In field of thoracic surgery, video-assisted thoracoscopic surgery has been played an important role in alleviating the postoperative pain. Furthermore, single-port thoracoscopic surgery, which reduces the number of surgical incision, is increasingly carried out by many institutions world widely.
In field of anesthesiology, various attempts to alleviate post-thoracotomy pain have been tried along advancement of thoracic surgical techniques. It began with postoperative medication of non-steroid anti-inflammatory drugs, opioids and progressed into implementations such as local analgesia, thoracic epidural block, paravertebral block, intercostal nerve block, interpleural block and serratus anterior plane block.
Many analgesic methods have been applied to alleviate postoperative pain in patients who have undergone thoracoscopic surgeries. However, there are no prospective randomized controlled studies between intercostal nerve block and serratus anterior plane block in single port video-assisted thoracoscopic surgeries. The main purpose of this study is to compare and analyze the effects between conventional intercostal nerve block and newly introduced serratus anterior plane block in primary spontaneous pneumothorax patients who have undergone single port video-assisted thoracoscopic wedge resection. This prospective study will discover the efficacy and differences between two methods.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
TRIPLE
Study Groups
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Intercostal Nerve Block
Intercostal Nerve Block was performed just before closing the surgical incision while looking directly at the affected intercostal space. 10ml of 0.375% ropivacaine was delivered evenly at anterior and posterior intercostal spaces from the port site.
Single Port Video-Assisted Thoracoscopic Surgery
Single Port Video-Assisted Thoracoscopic wedge resection was performed for primary spontaneous pneumothorax.
Serratus Anterior Plane Block
Serratus Anterior Plane Block was performed just before the start of surgery after anesthetic induction through ultrasound-guidance. 20ml of 0.375% ropivacaine was slowly injected between the fascia of serratus anterior and latissimus dorsi near 5th rib.
Single Port Video-Assisted Thoracoscopic Surgery
Single Port Video-Assisted Thoracoscopic wedge resection was performed for primary spontaneous pneumothorax.
Interventions
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Single Port Video-Assisted Thoracoscopic Surgery
Single Port Video-Assisted Thoracoscopic wedge resection was performed for primary spontaneous pneumothorax.
Eligibility Criteria
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Inclusion Criteria
2. primary spontaneous pneumothorax
3. elective single port video-assisted thoracoscopic wedge resection of the lung.
Exclusion Criteria
2. reoperation in ipsilateral thorax
3. a history of drug allergy for analgesics
4. participants who have difficulty understanding the study protocol
5. refusal of participants
18 Years
40 Years
ALL
No
Sponsors
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Kyungpook National University Hospital
OTHER
Responsible Party
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Saeyoung Kim, MD, PhD
Associate professor
Principal Investigators
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Saeyoung Saeyoung
Role: PRINCIPAL_INVESTIGATOR
Kyungpook National University Hospital
Locations
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Kyungpook national university hospital
Daegu, , South Korea
Countries
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Central Contacts
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Facility Contacts
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Jimin Heo
Role: primary
Other Identifiers
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2017-12-012-001
Identifier Type: -
Identifier Source: org_study_id