Local Anesthetic as Single Shot Versus Catheter in Patients Undergoing Video Assisted Thoracoscopic Surgery

• Status: Recruiting
• Trial end date: 2022-12-01
• Target enrollment: 0
• Participant gender: All

Summary

The purpose of this research is to compare a single shot long acting local anesthetic to catheter infusion of local anesthetic in patients undergoing video assisted thoracoscopic (VAT) surgery.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: The Guthrie Clinic
• Treatments: Bupivacaine; Ropivacaine

Criteria

Inclusion Criteria:

• Subjects who are age > 18, undergoing video thoracoscopic surgery and following Guthrie Robert Packer Hospital's Enhanced Recovery After Surgery (ERAS) protocol for Thoracic Surgery.

Exclusion Criteria:

• weight < 50 kg, pregnant subjects,

• left ventricular ejection fraction < 30%,

• history of drug or narcotic abuse,

• history of allergic to amide local anesthetic,

• presence of contraindication for erector spinae plane block (local skin infection, sepsis, severe coagulopathy)

• unable to provide consent,

• unable to use pain rating scales as demonstrated by verbal feedback

• preoperative chronic pain on narcotics,

• history of renal insufficiency ( Creatinine > 1.5 mg/dl),

• preoperative mild liver impairment ( i.e. AST/ALT above 1.5 times the upper normal limit)