Clinical trial NCT06558331: Quality of Postoperative Recovery (QoR-15T) in Patients Undergoing Video-Assisted Thoracoscopic Surgery (VATS)
Official title: Comparison of the Effects of ESP Block and Paravertebral Block on the Quality of Postoperative Recovery (QoR-15T) in Patients Undergoing Video-Assisted Thoracoscopic Surgery (VATS)
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Video-Assisted Thoracic Surgery
Keywords: Video-Assisted Thoracic Surgery
perioperative care
patient-reported outcome measures
pain
Lead sponsor: Başakşehir Çam & Sakura City Hospital
Sponsor class: OTHER_GOV
First posted: 2024-08-16
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Over 18 years of age

Brief summary: Video-assisted thoracoscopic surgery (VATS) is a minimally invasive technique that provides faster recovery after thoracic surgery. Techniques such as thoracic paravertebral block, Erector Spina Plane Expansion (ESP block) are accepted as loco-regional techniques for VATS. The quality of recovery after anesthesia (QoR) is an important information of the early health components of patients after surgery. QoR-15 offers a valid, reliable, sensitive and easy-to-use method for recovery after surgery. We aimed to investigate the relationship between QoR-15 score and postoperative pain temperature after Video-Assisted Thoracoscopic Surgery (VATS) ESP block and paravertebral spread.

Detailed description: Video-assisted thoracoscopic surgery (VATS) is a minimally invasive technique that provides faster recovery after thoracic surgery. Techniques such as thoracic paravertebral block, Erector Spina Plane Expansion (ESP block) are accepted as loco-regional techniques for VATS. Despite the improvement in invasiveness against thoracotomy treatment, postoperative pain after VATS was still moderate to severe. In order to accelerate the recovery of patients, a multimodal analgesic should be carefully planned and where it will be beneficial. The quality of recovery after anesthesia (QoR) is an important information of the early health components of patients after surgery. The performance of QoR-15 has been translated into Turkish and validation studies have been conducted on its products. QoR-15 offers a valid, reliable, sensitive and easy-to-use method for recovery after surgery. We aimed to investigate the relationship between QoR-15 score and postoperative pain temperature after Video-Assisted Thoracoscopic Surgery (VATS) ESP block and paravertebral spread.

Eligibility criteria: Inclusion Criteria:

* ASA1-3
* Patient undergoing Video Assisted Thoracoscopic Surgery (VATS)
* Over 18 years of age

Exclusion Criteria:

* Sympathectomy, lobectomy and pneumonectomy surgery using Video Assisted Thoracoscopic Surgery (VATS)
* Cases that started with Video Assisted Thoracoscopic Surgery (VATS) but were converted to thoracotomy,
* Patients who were uncooperative,
* Patients who refused to participate in the study,
* Presence of a neuropsychiatric disorder that could bias QoR-15T measurements or emergency surgical intervention,
* Patients under 18 years of age.

Primary outcomes:
measure: Effect of ESP block and paravertebral block on QoR-15 Quality of Recovery in VATS surgery
timeFrame: 24 hour
measure: Pain score with Numeric Rating Scale (NRS score),
timeFrame: 1 day
Secondary outcomes:
Other outcomes:
Locations:
city: Şişli
country: Turkey
facility: Başakşehir Çam Ve Sakura Şehir Hastanesi
state: İstanbul
Study officials:
References: