Multimodal Analgesia, Pain, Postoperative, Rhomboid Intercostal Block, Serratus Posterior Superior Intercostal Plane Block, Thoracic Surgery, Video-Assisted
Conditions
Brief summary
Video-assisted thoracic surgery (VATS) is widely performed for the management of various thoracic pathologies and is generally associated with reduced surgical trauma compared with open thoracotomy. Nevertheless, patients may still experience considerable postoperative pain, which can adversely affect respiratory function, mobilization, and recovery. Various regional analgesic techniques have been incorporated into multimodal pain management strategies for VATS, including thoracic paravertebral block (TPVB), erector spinae plane block (ESPB), intercostal nerve block, serratus anterior plane block (SAPB), rhomboid intercostal block (RIB), and serratus posterior superior intercostal plane block (SPSIPB). Among these approaches, ultrasound-guided TPVB has traditionally been regarded as a reference regional analgesic technique. More recently, interfascial plane blocks have gained increasing attention because of their technical simplicity and favorable safety profile. RIB and SPSIPB are two novel interfascial plane blocks that may provide effective postoperative analgesia following thoracic surgery. The present study aims to compare the analgesic efficacy of RIB and SPSIPB in patients undergoing VATS and to evaluate their impact on postoperative pain outcomes.
Interventions
Rhomboid intercostal block will be applied to the patients under real-time ultrasound guidance.
DRUGSerratus Posterior Superior Intercostal Plane Block
Serratus posterior superior intercostal plane block will be applied to the patients under real-time ultrasound guidance.
Sponsors
Ankara City Hospital Bilkent
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Patients undergoing elective VATS * Patients aged 18-75 years * Patients with ASA (American Society of Anesthesiologists) class I-III * Patients who have given informed consent
Exclusion criteria
* Patients allergic to local anesthetics * Patients with bleeding disorders or those undergoing anticoagulant therapy * Pregnant and breastfeeding women * Patients with impaired consciousness, inability to communicate, or mental/cognitive impairment * Patients who refuse block application * Patients with infection in the area where the block will be applied
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Surgical Pain Scores | 24 hours after surgery | Surgical pain will be assessed at rest and while coughing using the visual analog scale on a scale from 0mm (no pain) to 100mm (worst pain). Pain assessment will be done at 1st, 6th, 12th, and 24th hours after surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder Pain Scores | 24 hours after surgery | Shoulder pain will be assessed at rest and while coughing using the visual analog scale on a scale from 0mm (no pain) to 100mm (worst pain). Pain assessment will be done at 1st, 6th, 12th, and 24th hours after surgery. |
| Intraoperative remifentanil consumption | During the intraoperative period | The amount of remifentanil that patients need to maintain anesthesia during the intraoperative period will be recorded. |
Countries
Turkey (Türkiye)
Contacts
CONTACTEmine Nilgün Zengin, Associate Professor
CONTACTHülya Yiğit, Associate Professor
Outcome results
None listed