Postoperative Analgesia y After Uniportal Video-assisted Thoracoscopic Surgery

  • STATUS
    Recruiting
  • End date
    Dec 26, 2022
  • participants needed
    40
  • sponsor
    National Cheng-Kung University Hospital
Updated on 25 March 2022

Summary

Ultrasound-guided erector spinae plane block (ESPB) is an interfascial blockade during thoracic anesthesia, first described by Forero in 2016, and is highlighted by technically feasibility and less complication rate. The patient is placed as decubitus position. The anesthesiologists use echo to identify the ipsilateral transverse process at T5 level, and insert the needle to 2-3 cm lateral to the spinous process until contact the transverse process. Then the injected local anesthetic will penetrate via erector spinae muscle to paravertebral space to affect and relieve pain.

Details
Condition Post-operative Pain, Acute, Post-operative Pain, Thoracic Diseases, Post-Op Complication
Treatment ultrasound-guided Erector spinae plane block, surgical thoracoscopic intercostal nerve block
Clinical Study IdentifierNCT05242328
SponsorNational Cheng-Kung University Hospital
Last Modified on25 March 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

adult patients, over 20 years old, u
undergoing elective uniportal VATS lobectomy

Exclusion Criteria

patient refusal
body mass index > 35 kg/m2
American society of anesthesiologists (ASA) grade above 3
contraindication to nerve block
allergy to analgesic agents
regular opioid used for chronic pain prior to this time surgery
conversion to thoracotomy or VATS procedure
postoperative intubation
postoperative intensive care unit admission
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