SAP Versus ESP Block in Multimodal Pain Management in Mini-invasive Thoracic Surgery: an Observational Prospective Multicentric Study
NCT ID: NCT04303585
Last Updated: 2020-07-02
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
170 participants
OBSERVATIONAL
2019-06-27
2022-07-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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SAP block
This group includes patients who receive preoperative Serratus Anterior Plane block
SAP block
The anesthesiologist performs SAP block immediately before surgery under ultrasound guide
ESP block
This group includes patients who receive preoperative Erector Spinae Plane block
ESP block
The anesthesiologist performs ESP block immediately before surgery under ultrasound guide
Interventions
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SAP block
The anesthesiologist performs SAP block immediately before surgery under ultrasound guide
ESP block
The anesthesiologist performs ESP block immediately before surgery under ultrasound guide
Eligibility Criteria
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Inclusion Criteria
* BMI ranging from 18 to 30
* Age \> 18 years
* ASA I-III
* Ultrasound guided preoperative ESP block or SAP block
* Remifentanil as intraoperative opioid
Exclusion Criteria
* Weight \< 50 kg
* Pregnancy
* Emergent surgery
* Chronic opioid therapy
* History of drug or benzodiazepine addiction or alcohol abuse
* Previous thoracic surgery
18 Years
ALL
No
Sponsors
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Cliniche Humanitas Gavazzeni
OTHER
A.O.U. Città della Salute e della Scienza - Molinette Hospital
OTHER
University of Trieste
OTHER
Responsible Party
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Marzia Umari
Principal Investigator
Principal Investigators
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Umberto Lucangelo, MD PhD
Role: STUDY_CHAIR
University of Trieste
Marzia Umari, MD
Role: PRINCIPAL_INVESTIGATOR
University of Trieste
Giovanni Albano, MD
Role: PRINCIPAL_INVESTIGATOR
Cliniche Humanitas Gavazzeni
Edoardo Ceraolo, MD
Role: PRINCIPAL_INVESTIGATOR
A.O.U. Città della Salute e della Scienza - Molinette Hospital
Locations
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Cliniche Humanitas Gavazzeni
Bergamo, , Italy
A.O.U. Città della Salute e della Scienza - Molinette Hospital
Torino, , Italy
Cattinara Hospital
Trieste, , Italy
Countries
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Central Contacts
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Facility Contacts
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References
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Okmen K, Okmen BM. The efficacy of serratus anterior plane block in analgesia for thoracotomy: a retrospective study. J Anesth. 2017 Aug;31(4):579-585. doi: 10.1007/s00540-017-2364-9. Epub 2017 Apr 26.
McGovern I, Walker C, Cox F. Pain relief after thoracotomy. Br J Anaesth. 2007 Jun;98(6):844; author reply 844-5. doi: 10.1093/bja/aem112. No abstract available.
Wenk M, Schug SA. Perioperative pain management after thoracotomy. Curr Opin Anaesthesiol. 2011 Feb;24(1):8-12. doi: 10.1097/ACO.0b013e3283414175.
Doan LV, Augustus J, Androphy R, Schechter D, Gharibo C. Mitigating the impact of acute and chronic post-thoracotomy pain. J Cardiothorac Vasc Anesth. 2014 Aug;28(4):1048-56. doi: 10.1053/j.jvca.2014.02.021. No abstract available.
Khalil AE, Abdallah NM, Bashandy GM, Kaddah TA. Ultrasound-Guided Serratus Anterior Plane Block Versus Thoracic Epidural Analgesia for Thoracotomy Pain. J Cardiothorac Vasc Anesth. 2017 Feb;31(1):152-158. doi: 10.1053/j.jvca.2016.08.023. Epub 2016 Aug 21.
Luis-Navarro JC, Seda-Guzman M, Luis-Moreno C, Lopez-Romero JL. The erector spinae plane block in 4 cases of video-assisted thoracic surgery. Rev Esp Anestesiol Reanim (Engl Ed). 2018 Apr;65(4):204-208. doi: 10.1016/j.redar.2017.12.004. Epub 2018 Jan 11. English, Spanish.
Blanco R, Parras T, McDonnell JG, Prats-Galino A. Serratus plane block: a novel ultrasound-guided thoracic wall nerve block. Anaesthesia. 2013 Nov;68(11):1107-13. doi: 10.1111/anae.12344. Epub 2013 Aug 7.
Forero M, Adhikary SD, Lopez H, Tsui C, Chin KJ. The Erector Spinae Plane Block: A Novel Analgesic Technique in Thoracic Neuropathic Pain. Reg Anesth Pain Med. 2016 Sep-Oct;41(5):621-7. doi: 10.1097/AAP.0000000000000451.
Scimia P, Basso Ricci E, Droghetti A, Fusco P. The Ultrasound-Guided Continuous Erector Spinae Plane Block for Postoperative Analgesia in Video-Assisted Thoracoscopic Lobectomy. Reg Anesth Pain Med. 2017 Jul/Aug;42(4):537. doi: 10.1097/AAP.0000000000000616. No abstract available.
Rao Kadam V, Currie J. Ultrasound-guided continuous erector spinae plane block for postoperative analgesia in video-assisted thoracotomy. Anaesth Intensive Care. 2018 Mar;46(2):243-245. No abstract available.
Chin KJ, Malhas L, Perlas A. The Erector Spinae Plane Block Provides Visceral Abdominal Analgesia in Bariatric Surgery: A Report of 3 Cases. Reg Anesth Pain Med. 2017 May/Jun;42(3):372-376. doi: 10.1097/AAP.0000000000000581.
Leyva FM, Mendiola WE, Bonilla AJ, Cubillos J, Moreno DA, Chin KJ. Continuous Erector Spinae Plane (ESP) Block for Postoperative Analgesia after Minimally Invasive Mitral Valve Surgery. J Cardiothorac Vasc Anesth. 2018 Oct;32(5):2271-2274. doi: 10.1053/j.jvca.2017.12.020. Epub 2017 Dec 12. No abstract available.
Chin KJ, Adhikary S, Sarwani N, Forero M. The analgesic efficacy of pre-operative bilateral erector spinae plane (ESP) blocks in patients having ventral hernia repair. Anaesthesia. 2017 Apr;72(4):452-460. doi: 10.1111/anae.13814. Epub 2017 Feb 11.
Other Identifiers
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145_2018 Blocco gran dentato
Identifier Type: -
Identifier Source: org_study_id
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