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This present study aims is to compare the effects of ultrasound-guided paravertebral block, intertransverse process block, and erector spinae plane block on postoperative opioid consumption, and pain scores in patients undergoing VATS.
Video-assisted thoracic surgery (VATS) has become increasingly popular in Thoracic Surgery due to faster recovery and less postoperative pain compared to thoracotomy. However, although VATS has been reported to cause less postoperative pain than thoracotomy, it has also been shown to significantly increase the risk of acute and chronic postoperative pain, which negatively impacts postoperative pain recovery. Inadequate postoperative pain management can reduce the quality of a patient's recovery and increase the risk of postoperative pulmonary complication. Therefore, controlling pain in patients undergoing VATS is key to ensuring early mobilisation, and minimising the risk of pulmonary complications. Regional anaesthesia techniques are an important part of multimodal analgesia approach in patients undergoing VATS. The aim of the present study is to compare the effects of ultrasound-guided regional anaesthesia techniques on postoperative opioid consumption, and pain scores in patients undergoing VATS.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Paravertebral block group | Before the surgery, ultrasoud-guided paravertebral block will be performed |
| |
| İntertransverse process block group | Before the surgery, ultrasoud-guided intertransverse process block will be performed |
| |
| Erector spinae plane block group | Before the surgery, ultrasoud-guided erector spinae plane block will be performed |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Paravertebral block group | Other | Before the surgery, ultrasoud-guided paravertebral block will be performed before the surgery under standart anaesthesia monitoring |
|
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative opioid consumption | All patients will receive a standard patient analgesia (PCA) protocol after operation. The postoperative opioid consumption will only be recorded. | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative Numerical Rating Scale (NRS) pain scores | The postoperative pain intensity will be assessed with the Numerical Rating Scale (NRS) score (0=no pain; 10=most severe pain). | postoperative 24 hours |
| Chronic pain |
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Inclusion Criteria:
Exclusion Criteria:
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It is planned to include ASA score I-III adult patients who are planned to undergo elective VATS
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sadik Ozmen | Contact | +905324205282 | sadikozmen@hotmail.com | |
| Batuhan Kilic | Contact | +905319001549 |
| Name | Affiliation | Role |
|---|---|---|
| Sadik Ozmen | University of Health Sciences, Antalya Training and Research Hospital | Principal Investigator |
| Batuhan Kılıc | University of Health Sciences, Antalya Training and Research Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Health Sciences, Antalya Training and Research Hospital | Recruiting | Antalya | Muratpaşa | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40978546 | Background | Supphapipat K, Samerchua A, Leurcharusmee P, Lapisatepun P, Pipanmekaporn T, Konkarn N, Prapussarakul K, Jinadech T, Wanvoharn M. Single- versus Multiple-Injection Intertransverse Process Block for VATS: A Randomized Trial on Dermatomal Sensory Blockade. J Pain Res. 2025 Sep 15;18:4791-4800. doi: 10.2147/JPR.S545731. eCollection 2025. | |
| 36030040 |
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| İntertransverse process block group | Other | Before the surgery, ultrasoud-guided intertransverse process block will be performed before the surgery under standart anaesthesia monitoring |
|
| Erector spinae plane block group | Other | Before the surgery, ultrasoud-guided erector spinae plane block will be performed before the surgery under standart anaesthesia monitoring |
|
Patients will be telephoned 3 months after the surgery and the presence, localization, intensity of the pain , its character, and its relation with rest and/or activity will be recorded by asking only verbally.
| 3 months |
| Hacer Boztepe Yesilcay | University of Health Sciences, Antalya Training and Research Hospital | Principal Investigator |
| Sandeep B, Huang X, Li Y, Xiong D, Zhu B, Xiao Z. A comparison of regional anesthesia techniques in patients undergoing video-assisted thoracic surgery: A network meta-analysis. Int J Surg. 2022 Sep;105:106840. doi: 10.1016/j.ijsu.2022.106840. Epub 2022 Aug 24. |
| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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