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ESPB Versus INB With PCIA in Video-assisted Thoracic Surgery

2018-09-28 06:43:12 | BioPortfolio

Summary

A randomized prospective trial to test the non-inferiority of erector spinae plane block (ESPB) in comparison with intercostal nerve block combined with patient-controlled intravenous analgesia in Thoracoscopic lung surgery

Description

For patients undergoing thoracic surgery, postoperative pain greatly limited their recovery.Multimodal analgesia have shown good efficacy but without reaching full pain relief.

The primary goal of this study is to observe the effect of ultrasound-guided erector spinae plane block in comparison with intercostal nerve block combined with patient-controlled intravenous analgesia in video assisted thoracic lung surgery.

Study Design

Conditions

Lung Diseases

Intervention

Intercostal Nerve Block with PCIA, Erector Spinae Plane Block (ESPB)

Location

Peking University Third Hospital
Beijing
China

Status

Recruiting

Source

Peking University Third Hospital

Results (where available)

View Results

Links

Published on BioPortfolio: 2018-09-28T06:43:12-0400

Clinical Trials [2155 Associated Clinical Trials listed on BioPortfolio]

Erector Spinae Plane Block for Post-thoracotomy Pain

Post-thoracotomy pain is one of the most severe forms of post-operative pain. Among the most common techniques for the management of post-thoracotomy pain, there are the intercostal nerve ...

Perioperative Erector Spinae Plane Block in Thoracoscopic Surgery

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Ultrasound Guided Erector Spinae Plane Block in Patients Undergoing VATS Lobectomy

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Erector Spinae Plane Block Versus Serratus Plane Block for Breast Surgery

Serratus plane block (SPB) was first described in 2013 by Blanco and designed to primarily block the thoracic intercostal nerves. And this block provides sufficient analgesia lateral anter...

Rib Microtia and the Erector Spinae Plane (ESP) Block

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PubMed Articles [3669 Associated PubMed Articles listed on BioPortfolio]

The effect of ultrasound-guided intercostal nerve block, single-injection erector spinae plane block and multiple-injection paravertebral block on postoperative analgesia in thoracoscopic surgery: A randomized, double-blinded, clinical trial.

The study was to determine the analgesic effect of ultrasound-guided intercostal nerve block (ICNB) and single-injection erector spinae plane block (ESPB) in comparison with multiple-injection paraver...

The erector spinae plane block for effective analgesia after lung lobectomy: Three cases report.

The thoracic epidural block and thoracic paravertebral block are widely used techniques for multimodal analgesia after thoracic surgery. However, they have several adverse effects, and are not technic...

The use of rhomboid intercostal block, parasternal block and erector spinae plane block for breast surgery.

Efficacy of rhomboid intercostal block for analgesia after thoracotomy.

Regional anesthesia, including central and plane blocks (serratus anterior plane block and erector spinae block), are used for post-thoracotomy pain. The rhomboid intercostal block (RIB) is mainly per...

Erector spinae plane block and thoracic paravertebral block for breast surgery compared to IV-morphine: A randomized controlled trial.

Erector spinae plane (ESP) block is a novel regional anesthesia technique and gaining importance for postoperative pain management. Since it was first described, the clinicians wonder if this new simp...

Medical and Biotech [MESH] Definitions

Interruption of sympathetic pathways, by local injection of an anesthetic agent, at any of four levels: peripheral nerve block, sympathetic ganglion block, extradural block, and subarachnoid block.

Mechanical compression of nerves or nerve roots from internal or external causes. These may result in a conduction block to nerve impulses (due to MYELIN SHEATH dysfunction) or axonal loss. The nerve and nerve sheath injuries may be caused by ISCHEMIA; INFLAMMATION; or a direct mechanical effect.

The ventral rami of the thoracic nerves from segments T1 through T11. The intercostal nerves supply motor and sensory innervation to the thorax and abdomen. The skin and muscles supplied by a given pair are called, respectively, a dermatome and a myotome.

A local anesthetic of the ester type that has a slow onset and a short duration of action. It is mainly used for infiltration anesthesia, peripheral nerve block, and spinal block. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1016).

Interruption of the conduction of impulses in peripheral nerves or nerve trunks by the injection of a local anesthetic solution. (Stedman, 26th ed)

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