Ignite Creation Date:
2024-10-26 @ 3:35 PM
Last Modification Date:
2024-10-26 @ 3:35 PM
Study NCT ID:
NCT06507293
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-07-01
Brief Title:
Paravertebral Block and Erector Spinae Plane Block on Intraoperative Opioid Consumption Using NoL Index
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Comparison of the Effects of Paravertebral Block and Erector Spinae Plane Block on Intraoperative Opioid Consumption Using NoL Index in Thoracotomy
Status:
RECRUITING
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Thoracotomy is among the most painful surgical procedures and can cause severe pain with a high incidence Inadequate treatment of acute postoperative pain may lead to undesired complications Paravertebral block PVB is an effective technique that provides adequate analgesia in thoracic surgeries However it is an advanced technique with potential complication risks Erector spinae plane block ESPB is a relatively new and considered as a safer technique that provides comparable analgesia However the results are controversial and there are few studies that compares the effect of these blocks in thoracic surgeries As well as the undesired effects of inadequate pain management high doses of perioperative opioid usage may contribute to the development of dose-dependent long-term adverse events Hemodynamic parameters are generally used to determine the intraoperative need for opioids in patients however hemodynamic parameters are not standardized and they do not provide a clear assessment The Nociception Level NoL index is generated from five different parameters heart rate heart Rrate variability photo-plethysmographic waveform amplitude skin conductance level number of skin conductance fluctuations and their time derivatives using a finger probe and is a promising monitoring technique Selecting an effective analgesia method and determining the appropriate dose of opioids using NoL monitoring can reduce perioperative and postoperative complications and shorten hospital stays allowing patients to return to daily life sooner Additionally preventing chronic pain syndromes that may develop in patients with inadequate analgesia personalizing each patients analgesia level reducing healthcare costs and improving quality of life can be achieved The data from this study can demonstrate the analgesic efficacy of simpler regional anesthesia techniques contributing to the widespread adoption of regional anesthesia applications which is a crucial step in multimodal analgesia thereby ensuring more effective pain management for surgical patients
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None