Video-assisted thoracoscopic surgery (VATS) provides an opportunity to penetrate the thoracic cavity by video through an incision into the chest wall and facilitate surgical operation of lung pathologies.Various regional methods of anesthesia are currently being used to achieve this goal. The aim of the study was to assess the effectiveness of Long thoracic nerve bloc on postoperative VATS analgesia.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
Intravenous morphine infusion with PCA: Solution was concentration of 0.5 mg/mL. Loading dose of 1 mg, 0.5 mg of bolus dose and 20 min of locking time.
Ultrasound guided Long thoracic nerve blockage with 5 ml % 0.25 bupivacaine
morphine consumption
morphine consumption
Time frame: Postoperative 24 hours
Visual Analog Scale
Visual Analog Scale was used for pain.Pain intensity was measured using 0-10 cm visual analogue scale (VAS). (0=no pain, 10=intolerable pain)
Time frame: Postoperative 24 hours
side effect (Hypotension)
side effect Hypotension
Time frame: Postoperative 24 hours
additional analgesic use
additional analgesic use
Time frame: Postoperative 24 hours
side effect (Nausea and vomiting)
Nausea and vomiting scale 1\. Nausea and vomiting scale (nausea-vomiting scale (NVS): 1. No nausea is present, 2. Mild nausea is present. 3. Severe nausea is present. 4. Vomiting is present) In case of a NVS score of \>3, an anti-emetic drug was administered.
Time frame: Postoperative 24 hours
side effect (Ramsay Sedation Scale (RSS)
Ramsay Sedation Scale (Ramsay Sedation Scale (RSS) : 1. Anxiety, agitation are present; 2. Cooperated, awake; 3. Sedatized, response to commands; 4. Sleepy, immediately awoken by auditory stimulus or glabella tap; 5. Sleepy, deep response to auditory stimulus or glabella tap and 6. Sleepy, no response to auditory stimulus or glabella tap)
Time frame: Postoperative 24 hours
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