Comparison of the Rhomboid Intercostal Block and Serratus Posterior Superior Intercostal Plane Block
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Rhomboid Intercostal Block, Serratus Posterior Superior Intercostal Plane Block.
- Who it may be relevant to
- Registry conditions: Pain, Postoperative, Multimodal Analgesia, Rhomboid Intercostal Block, Serratus Posterior Superior Intercostal Plane Block. Basic parameters: 18 years — 75 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Comparison of the Effects of Ultrasound-Guided Rhomboid Intercostal Block and Serratus Posterior Superior Intercostal Plane Block on Postoperative Acute Pain in Patients Undergoing Video-Assisted Thoracoscopic Surgery
Overview
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
- Drug Rhomboid Intercostal Block
Rhomboid intercostal block will be applied to the patients under real-time ultrasound guidance. - Drug Serratus Posterior Superior Intercostal Plane Block
Serratus posterior superior intercostal plane block will be applied to the patients under real-time ultrasound guidance.
Primary outcome measures
- Surgical Pain Scores [Time frame: 24 hours after surgery]
Secondary outcome measures (2)
- Shoulder Pain Scores [Time frame: 24 hours after surgery]
- Intraoperative remifentanil consumption [Time frame: During the intraoperative period]
Eligibility criteria
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Turkey (Türkiye) · 1 center
- Ankara City Hospital — Çankaya
Identifiers
NCT: NCT07650877 · E.Kurul-E2-26-14830