Clinical trial NCT03949790: ESPB Combined With Intercostal Nerve Block in VATs
Official title: Erector Spinae Plane Block Combined With Intercostal Nerve Block in Video Assisted Thoracoscopic Surgery: a Randomized Study
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Video Assisted Thoracoscopic Surgery
Lead sponsor: Seoul National University Hospital
Sponsor class: OTHER
First posted: 2019-05-14
Enrollment: 60
Sex: ALL
Minimum age (years): 20
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Postoperative Pain
timeFrame: 1 hour after surgery
Secondary outcomes:
measure: Postoperative Pain
timeFrame: 6 hours after surgery
measure: Postoperative Pain
timeFrame: 12 hours after surgery
measure: Postoperative Pain
timeFrame: 24 hours after surgery
measure: Postoperative Pain
timeFrame: 48 hours after surgery
measure: Opioid consumption
timeFrame: postoperative 24 hours
Other outcomes:
Locations:
city: Seoul
country: Korea, Republic of
facility: SMG - SNU Boramae Medical Center
Study officials:
affiliation: SMG-SNU Boramae
name: Tae Kyong Kim, MD, phD
role: STUDY_CHAIR
References:
citation: Chin KJ, Adhikary S, Sarwani N, Forero M. The analgesic efficacy of pre-operative bilateral erector spinae plane (ESP) blocks in patients having ventral hernia repair. Anaesthesia. 2017 Apr;72(4):452-460. doi: 10.1111/anae.13814. Epub 2017 Feb 11.
citation: Forero M, Rajarathinam M, Adhikary S, Chin KJ. Continuous Erector Spinae Plane Block for Rescue Analgesia in Thoracotomy After Epidural Failure: A Case Report. A A Case Rep. 2017 May 15;8(10):254-256. doi: 10.1213/XAA.0000000000000478.
citation: Forero M, Adhikary SD, Lopez H, Tsui C, Chin KJ. The Erector Spinae Plane Block: A Novel Analgesic Technique in Thoracic Neuropathic Pain. Reg Anesth Pain Med. 2016 Sep-Oct;41(5):621-7. doi: 10.1097/AAP.0000000000000451.
citation: Hamilton DL, Manickam B. Erector spinae plane block for pain relief in rib fractures. Br J Anaesth. 2017 Mar 1;118(3):474-475. doi: 10.1093/bja/aex013. No abstract available.
citation: Forero M, Rajarathinam M, Adhikary S, Chin KJ. Erector spinae plane (ESP) block in the management of post thoracotomy pain syndrome: A case series. Scand J Pain. 2017 Oct;17:325-329. doi: 10.1016/j.sjpain.2017.08.013. Epub 2017 Sep 12.