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Completed

NCT Number: NCT03240562

Ultrasound-guided Block for Thoracic Surgery Pain

The investigators aimed to assess Ultrasounde- guided serratus anterior plane block can be effective in acute postoperative pain following thoracic surgery.

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Key information

Conditions

Postoperative Pain Neurologic Manifestations Pain Pain, Postoperative Pathologic Processes Pathological Conditions, Signs and Symptoms Postoperative Complications Signs and Symptoms Thoracic Cancer

Age range

20 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Samsung medical center

Seoul, 06351, South Korea

About this study

Analgesic options for thoracotomy are various with each having their own merits and demerits.Thoracic epidural is said to be the gold standard for management of thoracotomy pain. However, it is invasive procedure and many side effects. Other options include paravertebral block, interpleural block, intrathecal opioids. Especially, paravertebral block is thought good alternative to epidural anethesia. Most of these invasive neuraxial techniques demand normal coagulation parameters to be present.

The serratus anterior plane block(SAPB) was done under ultrasound guidance in the mid-axillary line at the level of the fourth rib and the catheter was placed superficial to the serratus plane. The patient expressed relief in pain within 10 minutes of being given the bolus of local anaesthetic.Pain following thoracotomy is chiefly due to rib retraction, and damage to the serratus/intercostal muscles and intercostal nerves. A SAPB addresses both these aspects. SAPB has been mentioned in previous studies for management of rib fractures and breast surgeries. The investigators try to evaluate whether the SAPB is easy to perform and provides effective analgesia in patients undergoing thoracotomy with minimal side effects.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

•undergoing thoracic surgery (lobectomy or segmentectomy)

Exclusion criteria

  • allergy to any drugs chronic pain disease with medication psychologic disorder anti-depressant drug chronic kidney disease ( Cr over 2.0 mg/dl) coagulopathy

Treatment and study plan

Serratus Anterior Plane Block

Procedure

before surgery :ultrasound-guided serratus anterior plane block

patient controlled analgesia

Drug

two groups have same intravenous patient controlled analgesia

Primary outcomes

  1. opioid consumption

    Time frame: the first 24hour in postoperative phase

    the dose of PCA and residual opioid

Secondary outcomes

  1. postoperative pain scale

    Time frame: intraoperative(immediately after surgery), postoperative 6 ,12, 24 hour

    numeric rating scale

  2. opioid consumption

    Time frame: the first 6,12 hour in postoperative phase

    the dose of PCA and residual opioid

Other outcomes

  1. questionnaire about patient's satisfaction for pain management

    Time frame: postoperative 24 hour

    score 1(bad)-5(good)

Sponsors and collaborators

Lead sponsor

Samsung Medical Center

Other

Registry information

Official study title

Ultrasound-guided Serratus Anterior Plane Block for Thoracic Surgery Pain?

Important dates

Study start
2017
Primary completion
2017
Study completion
2017
First posted
Aug 7, 2017
Registry last updated
Feb 28, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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