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Postoperative Analgesia in Thoracic Surgery

ConditionPostoperative Pain Management
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorHospital Universitario de Gran Canaria Doctor Negrín

About this trial

Analgesic management in thoracic surgery presents a particular challenge for the anesthesiologist, given the intensity of postoperative pain associated with thoracotomy, a surgical procedure that can impact respiratory function and the patient's subsequent recovery. Epidural analgesia is the gold standard. When epidural catheter placement is not feasible, erector spinae plane block is a safe alternative. The ultrasound target is easily visualized, and the injection site is far from the neuraxis, pleura, and major vascular structures. Consequently, this block has been incorporated into standard clinical practice as a treatment option for patients with complex cases or as an alternative approach when epidural catheter placement is not feasible. The primary objective of this study is to assess the effectiveness of postoperative analgesia in patients undergoing elective thoracic surgery.

Study Population Design A prospective observational follow-up study will be conducted. ASA I-III patients undergoing scheduled thoracic surgery between November 1 and December 31, 2025, will be included. Their analgesic management will be based on standard clinical practice.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients undergoing thoracic surgery between July 1 and October 31, 2020.

Age over 18.

ASA I-III.

Signed informed consent

Disqualifiers

ASA IV-V.

Chronic opioid treatment or treatment in the Chronic Pain Unit.

Intravenous drug abuse.

Local anesthetic allergy.

Trial population

The study will include ASA I-III patients scheduled for thoracic surgery at the Doctor Negrín University Hospital of Gran Canaria

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Postoperative pain through Visual analogue scale

    Diagnostic test

    Postoperative pain will be assessed using the visual analog pain scale at 1, 3, 6, 24, and 48 hours postoperatively.

  • Postoperative complications

    Diagnostic test

    The patient's postoperative evolution will be assessed until hospital discharge, in order to define the appearance of postoperative complications classified according to Clavien-Dindo classification.

Treatment groups

160 Participants
are divided into 2 treatment groups
Group A: Epidural analgesia2 interventions
Group B: Erector spinae plane block2 interventions

Trial outcomes

Primary outcomes

1

Postoperative pain

To evaluate the postoperative analgesic effect in patients undergoing elective thoracic surgery according to the Visual Analogue Scale, from 0 to 10.

Time frame
24 postoperative hours

Secondary outcomes

1

Postoperative analgesics consumption

To compare the use of rescue analgesic medication in patients receiving any of the different regimens established in routine clinical practice at our hospital for perioperative analgesic management (epidural catheter, paravertebral block, erector spinae plane block).

Time frame
24 postoperative hours.
2

Postoperative complications

To compare the appearance of postoperative complications in patients receiving any of the different regimens establishedat our hospital for perioperative analgesic management (epidural catheter, paravertebral block, erector spinae).

Time frame
First postoperative week.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Hospital Universitario de Gran Canaria Doctor Negrín

Lead sponsor

Source ClinicalTrials.gov
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