A randomized prospective trial to assess whether the use of loco regional anesthesia as adjuvant analgesic therapy is more effective of intravenous analgesia only.
A prospective randomized trial comparing intravenous analgesia alone and in association with loco regional anesthesia consisting in a homolateral Serratus Plan Block (SPB). Loco regional blockade of the serratus is further examined by allocating the patients to two different approaches: the block being performed under US guidance by the Anesthesiologist before the beginning of the procedure, or under direct visualization, by the operating surgeon, before entering the pleural cavity.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
90
Serratus Plane Block (SPB) injection of low concentration Ropivacaine (30 ml, 0.3%), in the plane between the External Intercostal Muscle and the Serratus Anterior Muscle.
SacroCuoreDonCalabria Research Hospital
Negrar, Verona, Italy
Post operative pain perception
Direct request to the patient to define the pain feeling, according to a Numerical Rating Scale (NRS, 0 to 10).
Time frame: 24 hours from the end of surgery
Ability to perform post operative rehab exercises
Number of forced inspiratory maneuvers during rehab respiratory exercises
Time frame: Measured at 24 hrs and 48 hrs after surgery
Systemic rescue analgesia consumption (doses)
Number of extra doses of pain killers directly required by the patient (Morphine (0.1 mg/kg), Tramadol 100 mg or Ketorolac 30 mg)
Time frame: measured at 6 hrs, 12 hrs, 24 hrs, 36 hrs and 48hrs after surgery
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.