Comparison of Thoracic Paravertebral Block and Pectoral Nerve Block

Bakirkoy Dr. Sadi Konuk Research and Training Hospital52 enrolled

Overview

This study aims to compare the efficacy and safety of ultrasound-guidedPECS II block with TPVB for postoperative analgesia after VATS.

52 patients (ASA I-III) between 18 and 65 years of age, who were to undergo VATS, were randomized and divided into two groups. (26 patients in each of the PECS and TPVB groups) Thoracic paravertebral block was administered from two consecutive levels for TPVB group and a modified pectoral nerve block was performed in the PECS group. Postoperative analgesia was provided by intravenous morphine infusion using a patient-controlled analgesia device. Postoperative 24-hour total morphine consumption and duration of analgesia were the primary outcome measure. Perioperative remifentanil use, visual analog scale values during at rest and coughing, time of the first analgesic request, and additional analgesic consumption were recorded.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

Conditions

Thoracic Paravertebral Block Video-assisted Thoracoscopic Surgery Postoperative Analgesia

Interventions

paravertebral blockPROCEDURE

The investigators performed Paravertebral block to that patient group for postoperative analgesia

pectoral blockPROCEDURE

The investigators performed pectoral block to that patient group for postoperative analgesia

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Ages of 18-65 * Patients who will undergo VATS * ASA I-II-III patients Exclusion Criteria: * Patients with ASA IV * Clinically diagnosis of spinal or chest wall deformity or pathology * Clinically known local anesthetic allergy * Morbid obesity (body mass index\>40 kg m2) * Clinically diagnosis of opioid, alcohol and substance dependence * Clinically diagnosis of psychiatric disease * Coagulopathy

Locations (1)

Bakirkoy Dr. Sadi Konuk Research and Training Hospital

Istanbul, Bakirkoy, Turkey (Türkiye)

Outcomes

Primary Outcomes

Postoperative 24-hours total morphine consumption of patients

This will be measured only one time by pca device at the 24th hour after surgery.

Time frame: 24 hours postoperatively

Secondary Outcomes

Visual Analog Scale values of patients

Visual Analog Scale (VAS, 0-10; 0= no pain and 10= very severe unbearable pain) at 0-1-2-4-8-12 and 24th hours

Time frame: 24 hours postoperatively

Data from ClinicalTrials.gov

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