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Recruiting NCT07666334

Subtransverse Process Interligamentary Plane Block Versus Rhomboid Intercostal Block Combined With Sub-Serratus Plane Block for Analgesia in Pediatric Thoracotomy

No phase Interventional Subtransverse Process Interligamentary Plane Block Rhomboid Intercostal Block Sub-Serratus Plane Block Analgesia

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: Standard intravenous analgesia, Subtransverse process interligamentary plane block, Rhomboid intercostal block (RIB) combined with sub-serratus plan block group.
Who it may be relevant to
Registry conditions: Subtransverse Process Interligamentary Plane Block, Rhomboid Intercostal Block, Sub-Serratus Plane Block, Analgesia. Basic parameters: 6 years — 12 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
Egypt
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

Ultrasound- Guided Subtransverse Process Interligamentary Plane Block Versus Rhomboid Intercostal Block Combined With Sub-Serratus Plane Block for Analgesia in Pediatric Thoracotomy: A Randomized Controlled Study

Overview

This study aims to compare ultrasound guided subtransverse process interligamentary plane block versus rhomboid intercostal block combined with sub-serratus plane block for postoperative analgesia in pediatric thoracotomy.

Detailed description

Post-thoracotomy pain is one of the most severe types of pain on the first day of the surgery. In pediatric patients, inadequate analgesia may lead to adverse circulatory and respiratory compromise.

The subtransverse process interligamentary (STIL) plane block is a recently introduced technique that offers a safer alternative by targeting thoracic nerves without entering the paravertebral space.

Recently, some studies have shown that the rhomboid intercostal block (RIB) and the RIB combined with the sub-serratus plane block (RISS) can provide good analgesia effects after video assisted thoracoscope.

Interventions

  • Other Standard intravenous analgesia
    Patients will receive no block intervention and standard intravenous analgesia will be given.
  • Other Subtransverse process interligamentary plane block
    Patients will receive ipsilateral ultrasound-guided subtransverse process interligamentary (STIL) plane block with bupivacaine 0.25% (0.5 mL/kg) after induction of general anesthesia.
  • Other Rhomboid intercostal block (RIB) combined with sub-serratus plan block group
    Patients will receive ipsilateral ultrasound-guided rhomboid intercostal block (RIB) combined with sub-serratus plan block group with bupivacaine 0.25% (0.5mL/kg) after induction of general anesthesia.

Primary outcome measures

  • Time to first rescue analgesia [Time frame: 24 hours postoperatively]
Secondary outcome measures (3)
  • Degree of pain [Time frame: 24 hours postoperatively]
  • Total Opioids consumption [Time frame: 24 hours postoperatively]
  • Intraoperative fentanyl consumption [Time frame: Intraoperatively]

Eligibility criteria

Inclusion criteria

  • Pediatric patients between 6 to 12 years.
  • Both sexes.
  • American Society of Anesthesiologists (ASA) Physical Status I - II.
  • Scheduled for thoracic surgery with thoracotomy incision under general anesthesia.

Exclusion criteria

  • Parents who refused regional anesthesia.
  • Patients were presented with advanced kidney, cardiac or liver diseases.
  • Coagulation and bleeding disorders.
  • Patients presented with skin or soft tissue infection at the proposed site of needle Insertion.
  • Patients with cognitive impairment.

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

Egypt · 1 center
  • Tanta University — Tanta

Identifiers

NCT: NCT07666334 · 36265MD454/8/25

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗