Can a different anesthesia approach tame inflammation after chest surgery?
NCT ID NCT07800767
First seen Sep 02, 2026 · Last updated Sep 03, 2026 · Updated 1 time
Summary
This study looks at two ways of managing anesthesia during non-intubated video-assisted thoracoscopic surgery (NIVATS), a type of chest surgery where patients breathe on their own without a breathing tube. Researchers will review records of 120 adults who had this surgery to create a pericardial window for pericardial effusion. They will compare patients who received sedation with systemic opioid painkillers versus those who received sedation plus a regional nerve block. The goal is to see if one approach leads to a smaller rise in a blood marker of inflammation (neutrophil-to-lymphocyte ratio) and better early recovery after surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Two anesthesia management approaches: procedural sedation with systemic opioid analgesia versus procedural sedation with thoracic regional analgesia (paravertebral, erector spinae, or serratus anterior/intercostal plane block). No intervention assigned by investigators.
- What this could lead to
- If one anesthesia approach proves better, it could guide choices that reduce post-surgery inflammation and speed recovery for patients undergoing non-intubated chest surgery.
- What could go wrong
- This is a retrospective review of past records, not a controlled experiment, so results may be influenced by unmeasured factors. The study is small and single-center, so findings may not apply broadly.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2026
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Consecutive adult patients who underwent non-intubated (spontaneous ventilation) video-assisted thoracoscopic creation of a pericardial window for pericardial effusion at a single tertiary cardiovascular training and research hospital. All eligible cases identified in the hospital records within this period will be included; no sampling or selection beyond the eligibility criteria will be applied.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged 18 to 80 years * Underwent non-intubated video-assisted thoracoscopic surgery with spontaneous ventilation for creation of a pericardial window for pericardial effusion at the study centre * American Society of Anesthesiologists (ASA) physical status I to IV * Available preoperative complete blood count within 24 hours before surgery and routine morning complete blood count on postoperative day 1 * Anaesthesia management module classifiable as Group A or Group B from the perioperative records Exclusion Criteria: * Age under 18 years or over 80 years * Pregnancy * Documented poor general condition or haemodynamic instability before surgery * Requirement for inotropic or vasopressor support before surgery * Intensive care unit stay exceeding 24 hours before surgery * Missing preoperative or postoperative day 1 complete blood count * Haematological malignancy, active systemic infection, or ongoing corticosteroid or immunosuppressive therapy at the time of surgery * Anaesthesia management not classifiable into either predefined module
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Kosuyolu Heart Training and Research Hospital
Istanbul, Kartal, 34862, Turkey (Türkiye)
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