The purpose of this study is to evaluate whether pre-emptive local bupivacaine injection is a better alternative pain control modality than the conventional intravenous patient controlled analgesia.
Despite less postoperative pain from Video Assisted Thoracic Surgery (VATS) than thoracotomy, pain is still an important issue in its recovery period. After VATS procedure, intravenous patient controlled analgesia (IV PCA) is being used for pain control. However, the side effects of IV PCA are nausea, vomiting, sleepiness, and urination difficulty which interrupt the early recovery. It is established that pre-emptive local bupivacaine injection is more economical, has almost no side effects, and finally, it is effective for the postoperative 24 hours. The purpose of this study is to evaluate whether pre-emptive local bupivacaine injection is a better alternative pain control modality than the conventional intravenous patient controlled analgesia.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
86
Pre-emptive bupivacaine wound infiltration
postoperative pain control with intravenous patient controlled analgesia
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, South Korea
The change in postoperative pain confirmed by Visual Analogue Pain Scale
Time frame: Operation day, Postoperative Day 1, 2, 3 and 2 week, 1 month, 2 months
number of participants with adverse events related to fentanyl or bupivacaine drug
nausea, vomiting, sleepiness, urinary difficulty, respiratory depression
Time frame: 2 months
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