Status:

COMPLETED

Analgesic Efficacy of Single-shot Erector Spinae Block for Thoracic Surgery

Lead Sponsor:

University of British Columbia

Conditions:

Regional Anesthesia

Pain, Postoperative

Eligibility:

All Genders

18-75 years

Phase:

NA

Brief Summary

The erector spinae plane (ESP) block is a novel regional anesthetic technique for the treatment of thoracic, cervical, and abdominal pain. This pilot study aims to investigate the post-operative analg...

Detailed Description

Purpose To investigate the postoperative analgesic effectiveness of the ultrasound-guided ESP block compared to a placebo injection for patients undergoing thoracoscopic wedge resection of the lung. ...

Eligibility Criteria

Inclusion

  • 18-75 years of age
  • Presenting for elective thoracoscopic wedge resection
  • Proficient in the use of the English language
  • Able to provide informed consent
  • Expected stay \> 24 hrs in hospital

Exclusion

  • ASA greater than, or equal to 4
  • Expected post-operative endotracheal intubation
  • High likelihood of conversion to open thoracotomy
  • A diagnosis of a chronic pain condition
  • Depression or other psychiatric diagnosis
  • Dementia
  • Pregnancy
  • Preoperative opioid use \>30mg of oral morphine equivalents per day
  • Known alcohol or recreational drug abuse
  • Contraindication to local anesthetic use including allergy or sensitivity to ropivacaine or other amide-type local anesthetics
  • Contraindication to the ESP block or regional anesthetic technique including: allergy or sensitivity to ultrasound gel; previous spine instrumentation; previous rib surgery; injured, diseased, or infected skin overlying the area to be blocked
  • Perioperative use, or planned use, of alternative regional anesthetic technique (not including surgical local anesthetic infiltration)
  • Perioperative ketamine and lidocaine infusion use

Key Trial Info

Start Date :

July 3 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 31 2020

Estimated Enrollment :

80 Patients enrolled

Trial Details

Trial ID

NCT03419117

Start Date

July 3 2018

End Date

December 31 2020

Last Update

May 11 2021

Active Locations (1)

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UBC/Medicine, Faculty of/Anesthesiology, Pharmacology & Therapeutics

Vancouver, British Columbia, Canada, V5Z 1L8