ESPB Combined With Intercostal Nerve Block in VATs

Study Overview
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Brief Summary
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A randomized prospective trial to test the effect of additional Erector Spinae Plane Block (ESPB) with intercostal nerve block during video assisted thoracoscopic surgery.

Detailed Description
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A prospective randomized trial which aims to evaluate effect of peripheral nerve block for pain management, the Erector Spinae Plane Block (ESPB) in patients undergoing video assisted thoracoscopic surgery with intercostal nerve block.

Official Title
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Erector Spinae Plane Block Combined With Intercostal Nerve Block in Video Assisted Thoracoscopic Surgery: a Randomized Study

Conditions
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Video Assisted Thoracoscopic Surgery

Intervention / Treatment
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* Procedure: ESPB and Intercostal nerve block
* Procedure: Intercostal nerve block


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Wedge Resection or Lobectomy under VATS approach. Exclusion Criteria: Age < 20 years Patients who has anatomical abnormality in any spine Patients who has skin infection near to be the present procedure site Intercostal nerve block is not performed during surgery Previous lung surgery history of affected side

Ages Eligible for Study
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Minimum Age: 20 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Intercostal block with ESPB<br>Performed ESPB in VATs with intercostal nerve block | Procedure: ESPB and Intercostal nerve block<br>* Erector spinae plane block + Intercostal nerve block<br>|
| Active Comparator: Intercostal block without ESPB<br>Not Performed ESPB in VATs with intercostal nerve block | Procedure: Intercostal nerve block<br>* Intercostal nerve block<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postoperative Pain | VAS score (Visual Analog Scale for Pain, 0-10, higher value represent a worse outcome) | 1 hour after surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postoperative Pain | VAS score (Visual Analog Scale for Pain, 0-10, higher value represent a worse outcome) | 6 hours after surgery | 
| Postoperative Pain | VAS score (Visual Analog Scale for Pain, 0-10, higher value represent a worse outcome) | 12 hours after surgery | 
| Postoperative Pain | VAS score (Visual Analog Scale for Pain, 0-10, higher value represent a worse outcome) | 24 hours after surgery | 
| Postoperative Pain | VAS score (Visual Analog Scale for Pain, 0-10, higher value represent a worse outcome) | 48 hours after surgery | 
| Opioid consumption | cumulative total opioid consumption | postoperative 24 hours |