Compairing R-ICNB and C-ICNB for Postoperative Pain Management After Minimal-invasive Anatomical Lung Resection

Summary

This is a pilot study in which a total of 6 people will participate. This study aims to optimize the postoperative pain management of an anatomically minimally invasive lung resection (RATS) by comparing 2 pain-relieving techniques. As standard, an intercostal block is placed at the end of the procedure by injecting a local anesthetic at the site where the patient will be operated on. This study compares the previous method with the use of cryotherapy as an intercostal block. This technique uses cryo probes and blocks postoperative pain for 1-3 months. By comparing both techniques, it is examined whether cryotherapy requires less pain medication and is therefore more effective.

Eligibility

Inclusion Criteria:

Adult patients of 18 years or older who are able to give informed consent and fill out questionnaires in Dutch.

Exclusion Criteria:

* Patients who need an anatomic resection of the lung that's larger than one lung lobe, who have CPAM or infections.
* Patients with chronic use (\>3 months) of strong opioids because of co-morbidities -for example, the use of tramadol is allowed.
* If there's a high risk of conversion to a thoracotomy. This will be evaluated by the lung surgeon.
* Patients who have had thoracic surgery in the past.
* Patients with chronic kidney disease stage 4 or 5 (GFR \< 30 mL/min)

Conditions4

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