NCT03023982

Pectoralis and Serratus Nerves Block in Thoracic Surgery

Ultrasound Guided PECs II (Pectoralis and Serratus Nerves) Block in Patients Undergoing a Thoracic Surgery

• Status: Unknown
• Phase: Phase 2
• Study type: Interventional
• Enrollment: 168 (estimated)
• Sponsor: Soroka University Medical Center · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

A new conceptual regional anesthesia the PECs II block (modified pectoral and serratus nerves block) has been described for pain control after thoracic surgery, one of the indications to perform this method is analgesia for surgeries or procedures involving lateral chest wall

Detailed description

The PECs I block was found to be very effective after breast cancer surgery and sub-pectoral prosthesis for pain control management. This block is provided by injection into another myofascial plane, this time between pectoralis minor and serratus anterior muscle at the level of 3rd and 4th rib.PECs II block is simple in performance with a high success rate and minimal incidence of complications, especially, if used ultrasound approach that gives a good understanding of anatomy of the lateral thoracic wall. In present clinical trial we are going to compare PECs block for pain control with traditional pain management techniques based on IV opioids and NSAIDs treatment in patient undergoing thoracic surgery in early postoperative period.

Conditions

• Anesthesia
• Surgery
• Block
• Thoracic Injury

Interventions

Type	Name	Description
DRUG	Bupivacaine Hydrochloride	40 cc 0.25% of Bupivacaine Hydrochloride injection using ultrasound approach will be administered between pectoralis minor and serratus anterior muscle at the 3rd and 4th rib
DEVICE	Ultrasound	All blocks will be done under ultrasound
PROCEDURE	Thoracotomy	The patient population will include patients that undergo either open thoracotomy or thoracoscopy for anatomic and non-anatomic lung resection. The standard thoracoscopy approach in our institute includes three holes technic. There are two incisions of 1 cm and utility incision of 4 cm. The standard thoracotomy is posterior- lateral thoracotomy which divided the latissimus dorsi muscle but spears the serratus anterior muscle.
DRUG	Opioids	standard pain control with opioids
DRUG	NSAID	standard pain control with NSAIDs

Timeline

• Start date: 2017-02-01
• Primary completion: 2019-02-01
• Completion: 2019-02-01
• First posted: 2017-01-18
• Last updated: 2017-01-18