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Ultrasound-Guided Erector Spinae Plane Block Versus Thoracoscopically-Guided Intercostal Nerve Block in Video-Assisted Thoracoscopic Surgery

RecruitingNAAges 18 Years - anyAllSana Klinikum Offenbach
NCT07535697 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Effective postoperative pain management is essential after thoracic surgery. Insufficient pain control may impair breathing and coughing, increasing the risk of pulmonary complications such as collapsed lungs (atelectasis) or pneumonia. Although minimally invasive lung surgery (video-assisted thoracoscopic surgery, VATS) is less painful than open surgery, people can still have significant pain after the operation. The goal of this randomized comparative study is to compare two commonly used regional anesthesia techniques for pain control after VATS in adults. Researchers will compare an ultrasound-guided erector spinae plane block (ESPB), performed by anesthesiologists, to a thoracoscopically-guided intercostal nerve block (ICNB), performed by surgeons. Participants will: * Undergo elective VATS lung resection surgery * Receive either ESPB or ICNB, according to random assignment * H

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📋 Eligibility rules (as published)
Inclusion Criteria: * Provision of written informed consent * Adults (≥ 18 years of age) * Elective video-assisted thoracoscopic surgery (VATS) for pulmonary resection (e.g., lobectomy, segmentectomy, wedge resection) Exclusion Criteria: * Lack of informed consent * Language barrier * Pregnancy or breastfeeding * Known allergy to local anesthetics used in the study * Infection at the injection site(s) * History of complex chest wall surgery * Revision surgery with a prior operation within the last 6 months * Intraoperative conversion to open thoracotomy * Chronic pain syndrome * Fibromyalgia * Chronic opioid use * Chronic alcohol abuse * Chronic substance abuse (e.g., THC, amphetamines, cocaine) * History of psychiatric disorders (e.g., depression, schizophrenia) * Impaired consciousness, cognition, or ability to communicate * Known coagulopathy (including platelet count \< 80,000/µL or prolonged PTT/aPTT \>1.5× the upper limit of normal) * Ongoing therapeutic anticoagulation
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What it tests

  • Anesthesiological, Ultrasound-Guided "Erector Spine Plane Block" (ESPB)
  • Surgical, Thoracoscopically-Guided "Intercostal Nerve Block" (ICNB)
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Where

1 site
Sana Klinikum Offenbach
Offenbach, Germany
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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