Clinical trial NCT06177652: Postoperative Analgesis for Pain Management After Thoracotomy
Official title: Comparison of Thoracal Paravertebral Block and Serratus Plan Block in Pain Management After Thoracotomy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Postoperative Pain
Analgesia
Keywords: Regional Anesthesia
Paravertebral Block
Serratus Plane Block
Thoracotomy
Lead sponsor: Kocaeli University
Sponsor class: OTHER
First posted: 2023-12-20
Enrollment: 58
Sex: ALL
Minimum age (years): 18
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: DIAGNOSTIC

Brief summary: Thoracotomy is among the most painful surgical procedures and can cause severe pain. Postoperative pain causes many complications. Therefore, pain management is important in patients undergoing thoracotomy. For this purpose, systemic analgesics are used along with ultrasound-guided nerve blocks in thoracotomy pain. The effectiveness of thoracic paravertebral block and serratus plane block in the treatment of post-thoracotomy pain will be evaluated by comparing their effectiveness and complications on postoperative pain. Since the epidural spread of the thoracic paravertebral block is more effective, the effectiveness of postoperative pain relief will be more effective

Detailed description: Thoracotomy is among the most painful surgical procedures and can cause severe pain. This pain causes postoperative complications in patients who have thoracotomy surgery. Uncontrolled pain can cause respiratory and thromboembolic events. Therefore, effective pain management is important in patients undergoing thoracotomy. Investigators aim to compare the analgesic effectiveness and complications of thoracic paravertebral block and serratus anterior plane block in relieving thoracotomy pain, which is one of the most painful surgical procedures. It is aimed to compare the effectiveness and complications of thoracic paravertebral block and serratus plane block in postoperative pain control after thoracotomy. Providing pain control reduces postoperative complications and reduces hospital stay, which increases patient comfort and reduces costs. In this research, postoperative morphine consumption after block applications will be compared, and patients' analgesic needs will be evaluated according to the participants' VAS score. Post-operative 3rd, 6th, 9th, 12th, 24th. Morphine consumption will be evaluated by monitoring the hours. It will be evaluated whether there is a need for additional analgesics. During the operation, the patient's heart rate, blood pressure, saturation and temperature variable values will be closely monitored. Standard monitoring methods will be used when examining these parameters.

Eligibility criteria: Inclusion Criteria:

* 18-75 aged patients
* American Society of Anesthesiologists Classification (ASA) I-II-III patients
* patients who scheduled elective thoracic surgery

Exclusion Criteria:

* American Society of Anesthesiologists Classification (ASA) IV-V patients
* patients with coagulopathy
* patient with infection at the injection site

Primary outcomes:
measure: Morphin consumption
timeFrame: during postoperative 24 hour
Secondary outcomes:
measure: Visual Analogue Scale (VAS)
timeFrame: during postoperative 24 hour
Other outcomes:
Locations:
city: Kocaeli
country: Turkey
facility: Kocaeli University
city: Kocaeli
country: Turkey
facility: Nur Nazire Yucal
Study officials:
affiliation: Kocaeli University
name: Tülay Çardaközü
role: STUDY_DIRECTOR
References: