Intrathecal Morphine for Recovery and Outcomes After VATS
The Effects of Intrathecal Morphine in Addition to Serratus Anterior Plane Block and Dexmedetomidine on Postoperative Recovery (QoR-15) and Systemic Inflammation in Video-Assisted Thoracoscopic Surgery: A Randomized Controlled Trial
Ataturk University
52 participants
Dec 1, 2025
INTERVENTIONAL
Conditions
Summary
This study will compare two different methods of pain management in patients undergoing video-assisted thoracoscopic surgery (VATS). One group will receive a combination of spinal morphine, nerve block, and dexmedetomidine, while the other group will receive a nerve block and dexmedetomidine without spinal morphine. All patients will receive standard pain medications after surgery. The purpose is to see if adding spinal morphine improves pain control and recovery after surgery.
Eligibility
Inclusion Criteria4
- Elective video-assisted thoracoscopic surgery (VATS) planned
- Age 18-70 years
- ASA physical status I-III
- Body mass index (BMI) \<35 kg/m²
Exclusion Criteria6
- Coagulopathy
- Opioid dependence or intolerance
- Allergy to local anesthetics
- Contraindications to neuraxial blockade
- Chronic pain history
- Renal or hepatic failure
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Interventions
200 µg morphine sulfate, single-dose via L3-L4, 27G Sprotte spinal needle, prior to induction.
Ultrasound-guided unilateral SAPB at end of surgery with 30 mL 0.25% bupivacaine.
Loading dose 0.5 µg/kg over 15 minutes, then 0.5 µg/kg/h continuous infusion intraoperatively.
Locations(2)
View Full Details on ClinicalTrials.gov
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NCT07231926