Erector Spinae Block Versus Surgeon Infiltration in VATS Procedures
Pain, Postoperative, Thoracic, Acute Pain
About this trial
This is an interventional treatment trial for Pain, Postoperative focused on measuring acute pain, VATS
Eligibility Criteria
Inclusion Criteria:
- Pt undergoing VATS including but not limited to wedge or lobectomy at Indiana University Hospital
- ASA 1,2,3 or 4
- Age 18 or older, male or female
- Desires regional anesthesia for postoperative pain control
Exclusion criteria:
- Any contraindication for Erector Spinae Plane block
- History of substance abuse in the past 6 months which would include heroin, marijuana or any other illegal street drugs
- Patient staying intubated after surgery
- Patient (home dose) taking more than 30mg PO morphine equivalent per day
- Known allergy or other contraindications to the study medications, which include dilaudid and bupivacaine.
- Pts. scheduled for a pleurodesis, decortication or esophagectomy at Indiana University Hospital
Sites / Locations
- Indiana University Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Active Comparator
Active Comparator
Ultrasound guided Liposomal Bupivacaine Erector Spinae Block
Ultrasound guided Standard Bupivacaine Erector Spinae Block
Surgeon Infiltration
All the erector spinae plane blocks will be placed preoperatively using Liposomal Buvicaine. All procedures will be placed under the supervision of the attending anesthesiologist on the acute pain service or the attending anesthesiologist in the operating room.
All the erector spinae plane blocks will be placed preoperatively using Liposomal Buvicaine. All procedures will be placed under the supervision of the attending anesthesiologist on the acute pain service or the attending anesthesiologist in the operating room.
At the end of the surgery, the surgeon will infiltrate liposomal bupivacaine under thoracoscopic guidance along the intercostal nerves from T4-T8.