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Although less invasive, postoperative analgesia remains challenging in patients undergoing uniportal video-assisted thoracic surgery (VATS).
Although less invasive, postoperative analgesia remains challenging in patients undergoing uniportal video-assisted thoracic surgery (VATS).
Adequate postoperative pain relief is imperative to hasten functional recovery, accelerate discharge from the hospital, and reduce chronic postsurgical pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group I | Active Comparator | Patients will receive ultrasound-guided deep serratus anterior plane block. |
|
| Group II | Active Comparator | Patients will receive local wound infiltration (LWI). |
|
| Group III | Placebo Comparator | Patients will receive ultrasound-guided thoracic paravertebral block. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound-guided deep serratus anterior plane block with isobaric bupivacaine | Drug | Patients will receive ultrasound-guided deep serratus anterior plane block with isobaric bupivacaine. |
| Measure | Description | Time Frame |
|---|---|---|
| Time to first analgesic requirement | Assessed in minutes | 24 hours after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain intensity | Assessed by the numerical rating pain scale, an 11-point scale graded from 0 to 10 (0 = no pain, 10 = the worst imaginable pain) | 24 hours after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Seham M Moeen, MD | Assiut University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seham M. Moeen | Asyut | 71111 | Egypt |
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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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| Local wound infiltration with isobaric bupivacaine | Drug | Patients will receive local wound infiltration with isobaric bupivacaine. |
|
| Ultrasound-guided thoracic paravertebral block with isobaric bupivacaine | Drug | Patients will receive ultrasound-guided thoracic paravertebral block with isobaric bupivacaine. |
|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |