New pain block could reduce opioid use after lung surgery
NCT ID NCT04864210
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compared two ways to manage pain after video-assisted lung surgery: an intercostal nerve block using liposomal bupivacaine and a paravertebral block using plain bupivacaine. 176 adults undergoing VATS were enrolled. The main goal was to see how many patients needed opioid painkillers in the first 48 hours after surgery. The results could help doctors choose the best pain relief method to reduce opioid use and improve recovery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- liposomal bupivacaine and plain bupivacaine
- What this could lead to
- If one method works better, it could lead to better pain control and less opioid use after lung surgery.
- What could go wrong
- This is a small, completed Phase 2 trial, so results may not apply to all patients. The liposomal bupivacaine is not FDA-approved for this use, and individual responses vary.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
176 people
The number who actually took part.
- Started
-
Feb 2021
- Finished
-
Jan 2025
- Lead sponsor
-
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.
- Ages
-
18 to 80 years
- Sex
-
Anyone
- Healthy volunteers
-
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: * Age over 18 years and less than 80 years * Undergoing video-assisted thoracoscopic surgery (VATS) procedure * BMI less than 40 Exclusion Criteria: * Unable to provide informed consent * Non-English speaking * Pregnant * BMI greater than 40 * Video-assisted thoracoscopic surgery pleurodesis subjects * Patients with pre-existing chronic pain * Opioid tolerance * Pain syndromes including fibromyalgia, regional pain syndrome or post therapeutic neuralgia in a thoracic distribution * Allergy to the study medication * Patients with infectious disease * Patients with impaired coagulation * Severe hepatic disease * Incarcerated
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Pain, postoperative are added.
Genom att skicka in godkänner du våra Användarvillkor
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
-
University of Iowa
Iowa City, Iowa, 52242, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can simple breathing exercises ease pain after knee replacement surgery?
- Three ways to block hernia surgery pain go head to head
- Could a small electrical device cut painkiller use after hip surgery?
- Can a blood pressure drug cut opioid needs during bowel surgery?
- Two nerve blocks go head to head for breast surgery pain
- Propofol vs. inhaled anesthesia: which one spares your recovery?