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The erector spinae plane block (ESPB) is a novel myofascial plane block. The ESPB is targeted at anterior surface of the erector spinae plane, which is oriented cephalocaudally to the spinal transverse process. Local anaesthetic injected in this plane can block the dorsal rami and ventral rami and intercostal nerves. The aim of this study was to evaluate the effect of ESPB on postoperative pain in thoracic surgery.
The erector spinae plane block (ESPB) is a newly defined regional anesthesia technique for thoracic analgesia. The blocks were performed at the T5 level of the spine using an in-plane approach.Previous studies were not designed as randomized controlled trial. In this study, the efficacy of ESPB is to confirm with randomized controlled trial design. ESPB will be performed in video assisted thoracoscopy preoperatively. After the surgery, the efficacy of ESPB will be assessed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ESPB with local agent | Active Comparator | ESPB will be performed using 20ml of 0.5% ropivacaine. |
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| ESPB with saline | Sham Comparator | ESPB will be performed using 20ml of saline. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| erector spinae plane block | Procedure | local anesthetic or saline is administered in to the interfascial plane between the transverse process of the vertebra and the erector spinae muscles, spreading to multiple paravertebral spaces |
| Measure | Description | Time Frame |
|---|---|---|
| Pain scale | 11-point numeric rating scale( (Scores from 0 to 10 are scored. The higher the score, the higher the degree of pain.The score is given in units of one point.) | the first 5 min after arriving at the recovery room |
| Pain scale | 11-point numeric rating scale (Scores from 0 to 10 are scored. The higher the score, the higher the degree of pain.The score is given in units of one point.) | 20 min after arriving at the recovery room |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sung Hyun Lee, MD | Contact | 82-2-2001-2323 | 4321hoho@naver.com | |
| Kyoung-Ho Ryu, MD | Contact | 82-2-2001-1376 | drkhryu@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Sung Hyun Lee, MD | Kangbuk Samsung Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| KangbukSamsung Hospital | Recruiting | Seoul | 03181 | 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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| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |