Ultrasound-guided Deep and Superficial Serratus Anterior Plane Block

NCT ID: NCT04252378

Last Updated: 2020-02-05

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

Clinical Phase

NA

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-15

Study Completion Date

2020-03-31

Brief Summary

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This study evaluates the difference of deep and superficial serratus anterior plane block on intraoperative opioid consumption, emergence time and hemodynamic stability in patients undergoing video-assisted thoracic surgery.

Detailed Description

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Thoracotomy is known as one of the most painful surgery. Thus, there is a development to reduce surgical stress in terms of operation technique, which is video-assisted thoracoscopic surgery. Although it has reduced postoperative pain and complications compared with thoracotomy, VATS is still quite painful operation. Serratus plane block is a novel technique which provide analgesic effect for lateral chest wall by blocking lateral branch of intercostal nerve. Two methods were proposed to target the top and bottom of the serratus anterior muscle. However, the difference of deep and superficial serratus anterior plane block during intraoperative period has not yet been studied.

In this study, therefore, the investigators decided to assess the difference of deep and superficial serratus anterior plane block on intraoperative opioid consumption, emergence time and hemodynamic stability in patients undergoing video-assisted thoracic surgery.

Conditions

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Pain Management Thoracotomy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Deep Serratus Anterior Plane Block

Deep 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 external intercostal muscle near 5th rib.

Group Type EXPERIMENTAL

Deep Serratus Anterior Plane Block

Intervention Type PROCEDURE

Deep Serratus Anterior Plane Block was performed just before the start of surgery after anesthetic induction through ultrasound-guidance.

Superficial Serratus Anterior Plane Block

Superficial 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.

Group Type ACTIVE_COMPARATOR

Superficial Serratus Anterior Plane Block

Intervention Type PROCEDURE

Superficial Serratus Anterior Plane Block was performed just before the start of surgery after anesthetic induction through ultrasound-guidance.

Interventions

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Deep Serratus Anterior Plane Block

Deep Serratus Anterior Plane Block was performed just before the start of surgery after anesthetic induction through ultrasound-guidance.

Intervention Type PROCEDURE

Superficial Serratus Anterior Plane Block

Superficial Serratus Anterior Plane Block was performed just before the start of surgery after anesthetic induction through ultrasound-guidance.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* a) American Society of Anesthesiologists (ASA) physical status 1 or 2
* b) age 20-75 years
* c) elective three port Video-assisted thoracoscopic surgery (VATS) lobectomy.

Exclusion Criteria

* a) a history of drug allergy for opioids or local anesthetics
* b) local infection at the injection site and systemic infection
* c) coagulopathy
* d) difficulty in understanding the study protocol
* e) refusal to participate
Minimum Eligible Age

20 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kyungpook National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Saeyoung Kim, MD, PhD

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Saeyoung Kim

Role: PRINCIPAL_INVESTIGATOR

Kyungpook National University Hospital

Locations

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Kyungpook national university hospital

Daegu, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Jimin Heo

Role: CONTACT

+82-53-420-5430

Saeyoung Kim

Role: CONTACT

+82-53-420-5873

Facility Contacts

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Jimin Heo

Role: primary

82-53-420-5430

Other Identifiers

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2019-05-003-001

Identifier Type: -

Identifier Source: org_study_id

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