Unique ID issued by UMIN | UMIN000037930 |
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Receipt number | R000043232 |
Scientific Title | The effect of difference in local anesthetic concentration used in continuous paravertebral block on thoracoscopic pulmonary resection on postoperative analgesic effect (a prospective randomized double-blind controlled study) |
Date of disclosure of the study information | 2019/09/09 |
Last modified on | 2022/02/24 22:11:43 |
The effect of difference in local anesthetic concentration used in continuous paravertebral block on thoracoscopic pulmonary resection on postoperative analgesic effect (a prospective randomized double-blind controlled study)
The effect of difference in local anesthetic concentration used in continuous paravertebral block on thoracoscopic pulmonary resection on postoperative analgesic effect (a prospective randomized double-blind controlled study)
The effect of difference in local anesthetic concentration used in continuous paravertebral block on thoracoscopic pulmonary resection on postoperative analgesic effect (a prospective randomized double-blind controlled study)
The effect of difference in local anesthetic concentration used in continuous paravertebral block on thoracoscopic pulmonary resection on postoperative analgesic effect (a prospective randomized double-blind controlled study)
Japan |
Patients undergoing video-assisted thoracoscopic lung resection
Chest surgery | Anesthesiology |
Malignancy
NO
There are various types and doses of local anesthetics used in the continuous paravertebral block after lung surgery. Previous meta-analysis has reported that higher concentration of bupivacaine administration is associated with higher analgesic effects. However, there is no report that directly compares the difference in analgesic effect due to the difference in concentration using levobupivacaine.
The purpose of this study is to compare whether postoperative analgesia using continuous paravertebral block in lung surgery results in a difference in analgesic effect due to concentrations of levobupivacaine.
Efficacy
Confirmatory
Explanatory
Not applicable
Pain score(Visual Analog Scale: VAS) for coughing in the morning following surgery
Resting VAS (0, 2, 4, 6, 8 hours after surgery, morning on the first day after surgery, morning on the second day after surgery)
VAS on coughing (2, 4, 6, 8 hours after surgery, morning on the second day after surgery)
Cold loss range (2 hours after surgery, morning on the first day after surgery)
Time when additional analgesics were administered from the postoperative day to the next morning, types of analgesics, and VAS
Patient age, height, weight, gender, American Society of Anesthesiology preoperative status classification
Surgery information (disease name, procedure, anesthesia time, operation time, fentanyl usage, remifentanil usage)
Postoperative side effects (nausea and vomiting, urinary retention, local anesthetic poisoning, etc.)
Complications (pneumothorax, vascular puncture, anaphylactic shock, etc.)
Patient satisfaction
Interventional
Parallel
Randomized
Individual
Double blind -all involved are blinded
Dose comparison
NO
NO
Institution is not considered as adjustment factor.
YES
Numbered container method
2
Treatment
Maneuver |
Continuous paravertebral block (continuous administration of 0.25% levobupivacaine at 8 ml / hour for 2 days)
Continuous paravertebral block (continuous administration of 0.125% levobupivacaine at 8 ml / hour for 2 days)
16 | years-old | <= |
90 | years-old | >= |
Male and Female
Patients undergoing thoracic pneumonectomy at Bellland General Hospital
Patients who do not agree to this clinical study
Maternity
Patients who cannot perform paravertebral block for the following reasons
1.Patients who are allergic to the drugs used (such as levobupivacaine and ropivacaine)
2.Patients undergoing anticoagulation therapy
3.Patient with infection at the puncture site
Patients who are judged inappropriate by the person in charge or joint researcher
50
1st name | Toshinori |
Middle name | |
Last name | Horiuchi |
Bellland General Hospital
Department of Anesthesia
599-8247
500-3, Higashiyama, Naka-ku, Sakai, Osaka
072-234-2001
t_horiuchi@seichokai.or.jp
1st name | Sayuri |
Middle name | |
Last name | Kawase |
Bellland General Hospital
Department of Anesthesia
599-8247
500-3, Higashiyama, Naka-ku, Sakai, Osaka
072-234-2001
s_kawase@seichokai.or.jp
Department of Anesthesia, Bellland General Hospital
None
Self funding
Bellland General Hospital Institutional Review Board
500-3, Higashiyama, Naka-ku, Sakai, Osaka
072-234-2001
irb@seichokai.or.jp
NO
2019 | Year | 09 | Month | 09 | Day |
Unpublished
Enrolling by invitation
2019 | Year | 08 | Month | 29 | Day |
2019 | Year | 09 | Month | 09 | Day |
2019 | Year | 09 | Month | 10 | Day |
2020 | Year | 05 | Month | 21 | Day |
2020 | Year | 05 | Month | 21 | Day |
2020 | Year | 05 | Month | 30 | Day |
2019 | Year | 09 | Month | 04 | Day |
2022 | Year | 02 | Month | 24 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000043232
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