Patient Controlled Erector Spinae Block at VATS
Postoperative Pain
About this trial
This is an interventional treatment trial for Postoperative Pain focused on measuring Erector Spinae Block,, VATS
Eligibility Criteria
Inclusion Criteria:
- Ages between 20- 75
- ASA (American Society of Anesthesiologists) Score I-III
- Undergoing elective Video Assisted Thoracic Surgery
Exclusion Criteria:
- ASA Score IV and higher
- Patinets with neurological deficits
- Paitents who have major vascular damage at the same side
- Mentally retarded patients
- Patients with alcohol or drug addiction
- Patients who are allergic to local anesthetics
- Pregnancy
- Paitents with coagulopathy
- Patients with skin infection at the side of the procedure
- Patients with pneumothorax at the side of the procedure
- Patient with a pacemaker
Sites / Locations
- Zonguldak Bulent Ecevit University
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Erector Spinae Block for VATS Group
Patient - Controlled Analgesia for VATS Group
40 patients who had VATS will receive erector spinae block for postoperative pain management. All patients will receive IV Midazolam (0.05mg/kg) premediacation. Standard monitorization of EKG, non- invasive blood pressure and pulsoximeter will be done and recorded in every 5 minutes. After sedation and standard monitorization, 20 minutes before the induction and in the prone positon the ESB procedure will be done. 10 % povidon- iodin will be used for sterilization and the USG probe will be covered with sterile sheath. The block will be done at the 8th thoracic vertebra line. The USG probe will be replaced 2-3 cm lateral to the spinous process in sagittal plane. When the erector spinae muscle is identified in the USG the needle will be guided caudally.0.5-1 ml local anesthetics will be given in order to confirm the needle is in the right place. After confirmation with 20 mL %0.25 bupivacaine the procedure will be performed.
40 patients who had VATS will receive IV PCA for postoperative analgesia managemnet.