Currently, the 2 main techniques of regional loco anesthesia in perioperative analgesic management of the thoracotomy remains the establishment of a thoracic epidural or paravertebral block. On the other hand, there is no standard of perioperative analgesic management in the case of thoracic surgery under video-thoracoscopy. The video-thoracoscopy, by its mini-invasive character, makes the levels of pain lower in post-operative questioning the benefit/risk balance of the paravertebral block. In 2013, Blanco published a new technique of locoregional anesthesia called the block Serratus allowing analgesia of a homolateral thorax hemi The latter by its simplicity of realization and its lesser risk is growing in thoracic surgery. This pilot study finds an equivalence in total oxycodone consumption in the first 2 post-operative days with a number of complications related to the serratus block lower than the serratus block compared to the paravertebral block in preoperative surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
150
locoregional anaesthesia allowing analgesia of the hemi-thorax by ultrasound guided single injection of naropeine 5mg/ml
Ultrasound guided single injection of of naropeine 5mg/ml dose into the paravertebral space next to the thoracic spine
CHU de NICE
Nice, Toutes, France
Pain evaluation
Assess the non-inferiority of the single-injection echo-guided serratus block, performed in video-thoracic surgery preoperative, on the post-operative mean pain during the first 48 hours, compared to the single-injection echo-guided paravertebral block with a simple numeric scale (from 0 to 10)
Time frame: 48 hours after the surgery
Walking test
Improvement of walking distance during the test at 6 min post-operative
Time frame: 24 hours after the surgery
Post operative morphine dose Post operative administrated morphin dose
Mesure of intraoperative morphine administrated dose and total morphine administrated dose (in mg).
Time frame: 48 hours after the surgery
Morphine side effect quantification
Collection of adverse reactions due to morphine administration (nausea, vomiting, pruritus, urine retention, respiratory depression)
Time frame: 48 hours after the surgery
Length of hospitalisation duration
Number of hospitalisation days
Time frame: 1 year
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