Erector Spinae Plane (ESP) Block vs Intravenous Lignocaine Infusion in (VATS)
The goal of this clinical trial is to compare analgesic efficacy of erector spinae plane (ESP) block vs intravenous lignocaine infusion in video- assisted thoracoscopy (VATS. The main goals are to compare post- operative pain scores and cumulative post- operative opioid doses in both groups
- EligibilityCriteria: Inclusion criteria:  Age >18 VATS for tumor resection or partial lung resection in emphysema Written, informed consent obtained 1 day prior to surgery  Exclusion criteria:  Lack of consent for ESP blockade History of allergy to local anaesthetics Other contraindications to ESP blockade American Society of Anesthesiologists(ASA) Physical Status Classification value 4 or higher VATS for indications other than tumor resection or partial lung resection in emphysema Insulin- dependent diabetes mellitus More than 1 chest drain post-operatively Conversion to thoracotomy Chronic opioid use prior to surgery defined as opioid administration for at least 3 months during the last 12 months History of alcohol abuse Suspected technical difficulties with performing the ESP block (e.g. obesity) Inadequate spread of the local anaesthetic during the ESP block Cognitive impairment that might cause an inaccurate assessment of pain levels - HealthyVolunteers: No - Gender: All - MinimumAge: 18 Years - StdAgeList: Adult, Older Adult