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Analgesia related to the administration of local anesthetic solution into the fascia of erector spinae muscle is mediated by the effect of local anesthetic on the posterior and lateral branches of the anterior part of the spinal nerve. Comparable analgesic efficiency after the administration of both nerve blocks would reject the widespread theory of the paravertebral site of effect of the local anesthetic in ESPB.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Erector spinae plane block | No Intervention | Patients undergoing VATS with the use of continuous peripheral nerve block type A. | |
| Serratus Posterior Plane Block | Experimental | Patients undergoing general anaesthesia with continuous peripheral block type B. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| new type of peripheral block Serratus Posterior Plane Block | Procedure | Intervention will be Serratus Posterior Plane Block. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cumulative opioid dose in 72 hours | Irrespective of the type of the block, 20 mls of 0.25 % bupivacaine will be administered to the block catether every 8 hours. Every patients will receive non-opioid analgesics according to standardized ward guideline. VAS score is recorded at least every 3 hours (except for time patient is asleep). Any time patient reports VAS score >=5, he/she will receive 5 mg of morphine intravenously (or equivalent dose of Oxycodone per os). Cumulative dose of opioids will be recorded. | from end of surgery to 72 hours after the end surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Daniel Nalos | Contact | +420737230792 | nalosdan@seznam.cz | |
| Ondrej Maly | Contact | +420774145512 | ondrej.maly@kzcr.eu |
| Name | Affiliation | Role |
|---|---|---|
| Miroslava Korfova | Krajská zdravotní, a.s. - Masarykova nemocnice v Ústí nad Labem, o.z. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Krajská zdravotní, a.s. - Masarykova nemocnice v Ústí nad Labem, o.z. | Ústí nad Labem | Ústí nad Labem Region | 40011 | Czechia |
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