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The purpose of this study is to evaluate whether pre-emptive local bupivacaine injection is a better alternative pain control modality than the conventional intravenous patient controlled analgesia.
Despite less postoperative pain from Video Assisted Thoracic Surgery (VATS) than thoracotomy, pain is still an important issue in its recovery period. After VATS procedure, intravenous patient controlled analgesia (IV PCA) is being used for pain control. However, the side effects of IV PCA are nausea, vomiting, sleepiness, and urination difficulty which interrupt the early recovery. It is established that pre-emptive local bupivacaine injection is more economical, has almost no side effects, and finally, it is effective for the postoperative 24 hours. The purpose of this study is to evaluate whether pre-emptive local bupivacaine injection is a better alternative pain control modality than the conventional intravenous patient controlled analgesia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bupivacaine | Active Comparator |
| |
| Intravenous Patient Controlled Analgesia | Other | postoperative pain control with intravenous patient controlled analgesia |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pre-emptive bupivacaine wound infiltration | Procedure | Pre-emptive bupivacaine wound infiltration |
|
| Measure | Description | Time Frame |
|---|---|---|
| The change in postoperative pain confirmed by Visual Analogue Pain Scale | Operation day, Postoperative Day 1, 2, 3 and 2 week, 1 month, 2 months |
| Measure | Description | Time Frame |
|---|---|---|
| number of participants with adverse events related to fentanyl or bupivacaine drug | nausea, vomiting, sleepiness, urinary difficulty, respiratory depression | 2 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sanghoon Jheon, M.D., Ph.D. | Seoul National University Bundang Hospital | Study Chair |
| Hee Chul Yang, M.D. | Seoul National University Bundang Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Bundang Hospital | Seongnam-si | Gyeonggi-do | 463-707 | South Korea |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D016058 | Analgesia, Patient-Controlled |
| ID | Term |
|---|---|
| D000698 | Analgesia |
| D000760 | Anesthesia and Analgesia |
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| intravenous patient controlled analgesia | Procedure | postoperative pain control with intravenous patient controlled analgesia |
|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |