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NCT03906617PHASE4Recruiting

Bupivacaine/Epinephrine +Dexamethasone vs. Liposomal Bupivacaine

The Cooper Health System

Start Date

4/10/2019

Completion Date

6/10/2022

Summary

This study will assess analgesia after robotic lung surgery. Subjects will be randomized to receive wound infiltration and intercostal nerve block with either liposomal bupivacaine or bupivacaine/epinephrine + dexamethasone. Liposomal bupivacaine is a newer local anesthetic product and has not been compared to a combination of bupivacaine/epinephrine + dexamethasone in the context of pain control after robotic lung surgery.

Eligibility Criteria

Age Range: 18 years to 90 years

Inclusion Criteria: * undergoing robotic wedge resection or lobectomy for lung mass(es) Exclusion Criteria: * emergency case * history of opiate abuse * chronic pain syndrome * intravenous drug use * chronic use of oral steroids * pregnancy * imprisonment * body weight lower than 70 kg * liver failure * uninsured patients * non-verbal patients or patients who are unable to rate their pain on a visual analogue pain scale * history of allergic reaction to any of the drugs used in the study: bupivacaine, liposomal bupivacaine, dexamethasone

Interventions

DRUG

Intercostal nerve block and wound infiltration with liposomal bupivacaine

DRUG

Intercostal nerve block and wound infiltration with bupivacaine/epinephrine + dexamethasone

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Conditions

Robotic Lung Surgery

Locations

Cooper University Hospital

Camden, New Jersey 08103

United States