Effects of Erector Spina Plane Block and Paravertebral Block on Early Postoperative Pulmonary Function Test Parameters
Effects of Erector Spina Plane Block and Paravertebral Block on Early Postoperative Pulmonary Function Test Parameters in Patients Undergoing Video-assisted Thoracoscopic Surgery
Başakşehir Çam & Sakura City Hospital
70 participants
Nov 1, 2023
OBSERVATIONAL
Conditions
Summary
The pain experienced by participants after minimally invasive chest surgery (VATS) can make it difficult for them to take deep breaths, which can lead to problems with lung function. This can cause serious problems such as lung collapse, low oxygen levels, and infections, making recovery longer and more difficult. Managing pain well after surgery is important to prevent these problems and speed up recovery. In this study, we aimed to compare two pain relief methods, Erector Spinae Plane Block (ESP) and Paravertebral Block (PVB), in participants who underwent VATS. We will look at which method causes the smallest change in lung function before and after surgery.
Eligibility
Inclusion Criteria6
- Both genders
- Being between the ages of 18 and 65
- ASA(American Society of Anesthesiologists) I-II-III
- Body mass index between 19 and 30kg/m2
- Providing voluntary participation
- Must be fully oriented and able to cooperate
Exclusion Criteria12
- ASA(American Society of Anesthesiologists) IV-V
- Patients who refuse to participate in the study
- Patients under 18 years of age
- Patients over 65 years of age
- Presence of active infection in the area to be treated
- Chronic pain and constant analgesic use
- Patients with coagulation disorders
- Patients who cannot cooperate with postoperative pain follow-ups
- Cases taken urgently
- Patients with severe renal failure (creatinine>2mg/dl)
- Severe impairment of heart function (New York Heart Association Functional Classification III-IV)
- Patients with known allergies to bupivacaine and other amide local anesthetic substances.
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Interventions
The ESP block will be administered before the VATS procedure, aiming to manage postoperative pain and minimize the impact on early lung function test (SFT) parameters. The block will be performed using standard techniques under ultrasound guidance to ensure accurate placement.
The PVB will be administered prior to the VATS procedure, with the objective of managing postoperative pain and assessing its impact on early postoperative lung function (SFT) parameters. This block will also be performed using standard techniques and ultrasound guidance for precision.
Locations(1)
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NCT06584201