Erector Spinae Plane Block Versus Intercostal for VATS

• Status: Unknown status
• Trial end date: 2020-08-01
• Target enrollment: 0
• Participant gender: All

Summary

The Erector Spinae Plane (ESP) block is a new interfascial regional anesthesia technique recently described by Forero et al. Currently the literature shows the ESP block being used for analgesia after thoracic surgery, breast surgery, abdominal surgery (visceral abdominal analgesia in bariatric surgery, ventral hernia repair, cholecystectomy), thoracic vertebral surgery and for pain relief in rib fractures. Taking in consideration the excellent clinical experience, but the lack of strong and high-quality evidence, supporting the use of ESP block for pain management in patients undergoing VATS procedures, there is a specific interest to develop a prospective study. Comparing the effect of the current pain relief strategy at the MGH (intercostal nerve block by the surgeon at the end of the procedure ) versus ESP block after VATS, seems warranted to improve current clinical results.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: McGill University Health Center; McGill University Health Centre/Research Institute of the McGill University Health Centre
• Treatments: BB 1101; Bupivacaine; Dexamethasone; Dexamethasone acetate; Epinephrine; Epinephryl borate; Racepinephrine

Criteria

Inclusion Criteria:

• Male and female patients

• age between 18 to 80 years old

• ASA 1-3

• scheduled for VATS

• informed consent explained and signed

Exclusion Criteria:

• Patients < 18 years old, > 80 years old

• ASA physical status > 3

• morbid obesity (BMI >40)

• previous cardiac surgery or ipsilateral thoracic surgery

• neuropsychiatric diseases

• serum albumin < 35 g/L

• cardiac, renal (creatinine > 200mmol/l) or hepatic failure (aspartate amino transferase, alanine amino transferase > 50 % over the normal range)

• anemia (hematocrit <30%)

• organ transplant

• allergy to analgesics or local anesthetics or other medications used in the study

• abuse of opioids or sedatives

• contraindication to receive regional anesthesia (e.g. coagulation defect)

• patients who could not understand the VAS pain-scoring system

• patient refusal to follow participation

• intraoperative conversion to open thoracotomy

• revision or re-operation or complication of surgery during the follow-up time

• post operative mechanical ventilation

• intolerance or allergy to any prescribed medication