NCT05294315

Bi-level vs. Single Level ESB in VATS

The Analgesic Efficacy of Bi-level Versus Single Level Erector Spinae Block in Video Assisted Thoracoscopic Surgery: a Randomized Patient Blinded Study

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 90 (estimated)
• Sponsor: London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Video assisted thoracoscopic surgery (VATS) is a minimally invasive surgery to remove lesions from the thoracic cavity. It is associated with moderate pain which can lead to pulmonary complications after surgery. The Enhanced Recovery After Surgery (ERAS) and the European Society of Thoracic Surgeons recommended a multimodal analgesia approach to manage pain after VATS. Erector spinae block (ESB) is a popular analgesic block due to its ease of performance and wide coverage. It has been shown to be effective in randomized control trials. Recently, case reports on bi-level ESB are emerging, suggesting more effective analgesia compared to single level ESB. As there is no available data, the investigators are interested in conducting a randomized pilot study, comparing bi-level to single level ESB to gather baseline data for sample size calculation for a formal randomized trial.

Conditions

• Acute Pain

Interventions

Type	Name	Description
PROCEDURE	Bi-level erector spinae block	erector spinae block at 4th and 6th transverse process
PROCEDURE	Single level erector spinae block	erector spinae block at 4th transverse process

Timeline

• Start date: 2022-06-01
• Primary completion: 2023-01-01
• Completion: 2023-02-01
• First posted: 2022-03-24
• Last updated: 2022-03-24

Locations

1 site across 1 country: Canada