Comparison of USG- Guided Modified Pectoral Nerve Block and Erector Spinae Plane Block on Postoperative Analgesia in Video Assisted Thoracoscopic Surgery

NCT ID: NCT04886375

Last Updated: 2021-05-14

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 55 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-04-01
• Study Completion Date: 2020-04-01

Brief Summary

This study aims to compare the effects of the erector spinae plan block (ESP) and modified pectoral nerve block (PECS II) on postoperative analgesia in patients undergoing video- assisted thoracoscopic surgery (VATS).

Detailed Description

55 patients (ASA I-II-III) between 18 and 65 years of age, who were to undergo VATS, were randomized and divided into two groups. (26 patients in each of the PECS and ESP groups). Three patients were excluded from the study because thoracotomy was performed. ESP block was performed for ESP group and a modified pectoral nerve block was performed in the PECS group. Postoperative analgesia was provided by intravenous morphine infusion using a patient-controlled analgesia device. Postoperative 24-hour total morphine consumption and duration of analgesia were the primary outcome measure. Perioperative remifentanil use, numeric rating scale values, time of the first analgesic request, and additional analgesic consumption were recorded.

Conditions

Postoperative Analgesia; Video-assisted Thoracoscopic Surgery

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: SINGLE

Study Groups

esp group

The investigators performed erector spina plane block to that patient group for postoperative analgesia

Group Type: ACTIVE_COMPARATOR

erector spina plane block

Intervention Type: PROCEDURE

The investigators performed erector spina plane block to that patient group for postoperative analgesia

pecs group

The investigators performed modified pectoral nerve block to that patient group for postoperative analgesia

Group Type: ACTIVE_COMPARATOR

modified pectoral nerve block

Intervention Type: PROCEDURE

The investigators performed modified pectoral block to that patient group for postoperative analgesia

Interventions

erector spina plane block

The investigators performed erector spina plane block to that patient group for postoperative analgesia

Intervention Type: PROCEDURE

modified pectoral nerve block

The investigators performed modified pectoral block to that patient group for postoperative analgesia

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Ages of 18-65
• Patients who will undergo VATS
• ASA I-II-III patients

Exclusion Criteria

• Clinically diagnosis of spinal or chest wall deformity or pathology
• Clinically known local anesthetic allergy
• Morbid obesity (body mass index>40 kg m2)
• Clinically diagnosis of opioid, alcohol and substance dependence
• Clinically diagnosis of psychiatric disease
• Coagulopathy
• Patients with ASA IV-V

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Bakirkoy Dr. Sadi Konuk Research and Training Hospital

OTHER_GOV

Sponsor Role: lead

Responsible Party

Gökhan Sertçakacılar

MD

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Bakirkoy Dr. Sadi Konuk Research and Training Hospital

Istanbul, Bakirkoy, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

2019-124

Identifier Type: -

Identifier Source: org_study_id