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Comparison of Continuous Epidural and Continuous Paravertebral Blockade in Postoperative Analgesia After Videothoracoscopic Lung Lobectomy
Thoracic surgery correlates with significant pain in postoperative period. In order to alleviate the pain various combinations of pharmaceuticals and administration methods are employed. So as to reduce the extent of surgical trauma and, consequently, correlated pain various operation techniques are used. In traditional thoracotomy epidural anesthesia remains a golden standard. Epidural anesthesia however demands high skills to be performed correctly and presents an increased risk of grave complications. In videothoracoscopic (VATS) operations paravertebral blockade can be employed, yet there is no certainty if its efficacy after lung lobectomy. We therefore designed a prospective, randomized, parallel group, single site study to test the hypothesis, that continuous paravertebral blockade is as efficient in postoperative pain reduction as continuous epidural blockade and possesses a higher safety profile.
Details
| Lead sponsor | Pulmonary Hospital Zakopane |
|---|---|
| Phase | Phase 2 |
| Status | COMPLETED |
| Enrolment | 120 |
| Start date | 2013-01 |
| Completion | 2014-07 |
Conditions
- Lung Cancer
Interventions
- Continuous Thoracic Epidural Block
- Continuous Thoracic Paravertebral Block
- Patient-Controlled Analgesia with Morphine
Primary outcomes
- pain intensity measured in VAS in predetermined time intervals after the operation — up to 96 hrs after the surgery
Countries
Poland