Efficacy of Paravertebral Nerve Blockade to Reduce Pain Following Thoracoscopy
NCT01715701 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2014-06-09
Summary
This study is designed to assess:
* The impact of preoperative multilevel thoracic paravertebral nerve blockade compared to intercostal nerve blockade performed at the end of surgery on the intensity of postoperative pain in subjects having a Patient Controlled Analgesia (PCA) device as their primary analgesic modality.
* The incidence of chronic pain at 6 months following video-assisted thoracic surgery.
* The impact of preoperative multilevel paravertebral nerve blockade on patients' quality of life at 6 months following surgery compared to intercostal nerve blockade and to a control group using PCA alone.
Hypothesis:
1. The basic hypothesis of this study is that preoperative thoracic multilevel paravertebral nerve blockade and multilevel intercostal nerve blockade performed at the end of surgery will provide superior postoperative analgesia and lower opioid consumption compared to PCA alone during the first 24 hours following surgery.
2. Preoperative thoracic multilevel paravertebral nerve blockade will reduce the incidence of chronic pain at 6 months following surgery.
3. Preoperative thoracic multilevel paravertebral nerve blockade and multilevel intercostal nerve blockade performed at the end of surgery will shorten the length of stay in the intermediate intensive care unit and shorten the hospital stay.
4. Preoperative thoracic multilevel paravertebral nerve blockade and multilevel intercostal nerve blockade performed at the end of surgery will reduce postoperative pulmonary complications.
Conditions
- Postoperative Pain
Interventions
- PROCEDURE
-
Paravertebral nerve blockade
Paravertebral nerve blockade using ropivacaine, intercostal nerve blockade using saline and PCA using hydromorphone or morphine.
- PROCEDURE
-
Intercostal nerve blockade
Intercostal nerve blockade using ropivacaine, simulated paravertebral nerve blockade and PCA using hydromorphone or morphine.
- PROCEDURE
-
Patient Controlled Analgesia
Simulated paravertebral nerve blockade, intercostal nerve blockade using saline and PCA using hydromorphone or morphine.
Sponsors & Collaborators
-
Centre de Recherche du Centre Hospitalier de l'Université de Montréal
collaborator OTHER -
Centre hospitalier de l'Université de Montréal (CHUM)
lead OTHER
Principal Investigators
-
Sébastien Garneau, MD, FRCPC · Centre hospitalier de l'Université de Montréal (CHUM)
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-01-31
- Primary Completion
- 2014-04-30
- Completion
- 2014-04-30
Countries
- Canada
Study Locations
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