Ignite Creation Date:
2024-05-06 @ 7:52 PM
Last Modification Date:
2024-10-26 @ 3:15 PM
Study NCT ID:
NCT06160375
Status:
COMPLETED
Last Update Posted:
2024-03-26
First Post:
2023-11-29
Brief Title:
Erector Spine Plane Block Versus Single-injection Thoracic Paravertebral Block Via Intrathoracic Approach in Single-port Video-assisted Thoracoscopic Lung Surgeries
Sponsor:
Ain Shams University
Organization:
Ain Shams University
Study Overview
Official Title:
Effect of Ultrasound-guided Erector Spine Plane Block Versus Single-injection Thoracic Paravertebral Block Via Intrathoracic Approach in Single-port Video-assisted Thoracoscopic Lung Surgeries in Postoperative Analgesia a Randomized Controlled Trial
Status:
COMPLETED
Status Verified Date:
2024-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
VAT
Brief Summary:
Effect of ultrasound-guided erector spine plane block versus single-injection thoracic paravertebral block via intrathoracic approach in single-port video-assisted thoracoscopic lung surgeries in postoperative analgesia a randomized controlled trial
Detailed Description:
Traditional thoracotomy has great trauma and severe postoperative pain At present thoracoscopic minimally invasive surgery is the main method of thoracic surgery Recently single-port video-assisted thoracoscopic SPVAT surgery has been widely used in thoracic surgery especially in lung wedge resection SPVAT lung wedge resection has the advantages of less incision less pain and faster recovery It was considered to have mild postoperative pain and ignored the need for postoperative analgesia resulting in insufficient analgesic measures after surgery The postoperative pain is still severe which seriously affects the patients postoperative recovery Pain is more than just a physical process it is a complex subjective phenomenon Pain can impair the hematologic immune hormonal cardiac and respiratory systems Pain also can limit mobility interfere with sleep and rest and contribute to agitation Psychosis aggressive behavior and delirium Surgical centers need to pay attention to pain management because there appears to be a direct relationship between unrelieved pain and the cost of medical care time spent in an intensive care unit and length of hospital stay
Inadequate analgesia causes respiratory hemodynamic endocrine and metabolic complications The preferred drugs for postoperative pain management are opioids Usually morphine is used for hemodynamic stability but it has a series of side effects like nausea vomiting constipation and respiratory depression NSAIDs are also used for analgesia It also has some side effects such as gastrointestinal disturbance renal impairment decreased platelet function and impaired coagulation
Ultrasound guidance is rapidly becoming the gold standard for regional anesthesia There is an ever-growing weight of evidence matched with improving technology to show that the use of ultrasound has significant benefits The improved safety and efficacy that ultrasound brings to regional anesthesia will help promote its use and realize the benefits that regional anesthesia has such as decreased morbidity and mortality superior postoperative analgesia cost-effectiveness decreased postoperative complications and an improved postoperative course Although the risk of complications is minimized with the use of ultrasound it requires advanced experience owing to its proximity to the pleura epidural and subarachnoid distance
A simpler quicker effective less invasive and less complicated analgesic method can be used for postoperative analgesia after SPVAT lung wedge resection is to inject local anesthetics LAs directly into the paravertebral space via the intrathoracic approach under thoracoscopic direct vision to achieve the purpose of TPB under thoracoscopic direct vision thereby reducing postoperative pain
The erector spine plane block ESPB is a new technique that is easier to visualize and perform because it is more superficial Owing to these advantages it has been preferred frequently for postoperative analgesia in different types of operations such as thorax abdomen hip and lumbar surgeries in recent years
Inadequate analgesia causes respiratory hemodynamic endocrine and metabolic complications The preferred drugs for postoperative pain management are opioids Usually morphine is used for hemodynamic stability but it has a series of side effects like nausea vomiting constipation and respiratory depression NSAIDs are also used for analgesia It also has some side effects such as gastrointestinal disturbance renal impairment decreased platelet function and impaired coagulation
Ultrasound guidance is rapidly becoming the gold standard for regional anesthesia There is an ever-growing weight of evidence matched with improving technology to show that the use of ultrasound has significant benefits The improved safety and efficacy that ultrasound brings to regional anesthesia will help promote its use and realize the benefits that regional anesthesia has such as decreased morbidity and mortality superior postoperative analgesia cost-effectiveness decreased postoperative complications and an improved postoperative course Although the risk of complications is minimized with the use of ultrasound it requires advanced experience owing to its proximity to the pleura epidural and subarachnoid distance
A simpler quicker effective less invasive and less complicated analgesic method can be used for postoperative analgesia after SPVAT lung wedge resection is to inject local anesthetics LAs directly into the paravertebral space via the intrathoracic approach under thoracoscopic direct vision to achieve the purpose of TPB under thoracoscopic direct vision thereby reducing postoperative pain
The erector spine plane block ESPB is a new technique that is easier to visualize and perform because it is more superficial Owing to these advantages it has been preferred frequently for postoperative analgesia in different types of operations such as thorax abdomen hip and lumbar surgeries in recent years
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None