Analgesic Non Inferiority of the Thoracic Bi-block in Comparison With Thoracic Epidural for VATS.
NCT04538235 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 90
Last updated 2020-09-04
Summary
Video-Assisted thoracic surgery (VATS) is the standard treatment for localized lung cancer. However, there is no consensus on analgesic management in patients undergoing VATS.
The aim of the study is to compare the analgesic efficacy of thoracic epidural with that a "Bi-block" combining an Erector Spinae muscle plane Block (ESP) and a Serratus Anterior Block (SAP) in patients undergoing VATS for lung or pleural surgery.
Our main hypothesis is that the analgesic efficacy of the Bi-block, assessed by morphine consumption, is not inferior to that provided by a thoracic epidural during the first 48 hours after VATS. We conducted a age, gender and type of surgery-matched retrospective cohort study in the Department of Thoracic Anesthesia of the Montpellier University Hospital (France).
Conditions
- Erector Spinae Muscle Plane Block
- Serratus Anterior Muscle Plane Block
- Video-Assisted Thoracic Surgery
- Lung Cancer
- Pleural Diseases
- Thoracic Epidural
- Analgesia
- Enhanced Recovery After Surgery
Interventions
- PROCEDURE
-
Thoracic Regional Analgesia
In the TEA group, a thoracic epidural was performed before VATS. In the Bi-block group, a SAP block associated with an ESP block were performed before surgical incision under general anesthesia.
Sponsors & Collaborators
-
University Hospital, Montpellier
lead OTHER
Principal Investigators
-
Pierre Sentenac, MD · Montpellier University Hospital
-
Pascal H Colson, MD, PhD · Montpellier University Hospital
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-10-20
- Primary Completion
- 2019-12-31
- Completion
- 2019-12-31
Countries
- France
Study Locations
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