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Assessing the Impact of Additional Serratus Anterior Block Within 24-Hour on Postoperative Pain After Rhomboid Intercostal Block in VATS Patients

ConditionsPost Operative PainVATS
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-70
SponsorAl-Quds University

About this trial

Title: Assessing the Impact of Additional Serratus Anterior Block on Postoperative Pain After Rhomboid Intercostal Block in VATS Patients

Purpose: This randomized controlled trial aims to evaluate whether the addition of a Serratus Anterior Plane Block (SAPB) to the standard Rhomboid Intercostal Block (RIB) improves postoperative pain management in patients undergoing Video-Assisted Thoracoscopic Surgery (VATS).

Study Design:

* Type: Randomized Controlled Trial (RCT) * Participants: 50 patients aged 18 -70 requiring VATS, randomized into two groups: one receiving RIB alone, and the other receiving RIB + SAPB. * Duration: Pain and opioid consumption will be measured within 48 hours post-surgery. * Outcome Measures: Pain levels using the Visual Analog Scale (VAS), opioid usage, and patient satisfaction.

Significance:

The study addresses the gap in research regarding the combined use of SAPB and RIB in pain control for VATS. It hypothesizes that the combination will lead to better pain relief and reduced opioid dependence compared to RIB alone.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults aged 18-70 years.

Patients undergoing Video-Assisted Thoracoscopic Surgery (VATS).

Classified as ASA physical status I-III (low to moderate surgical risk).

Ability to provide informed consent and follow study protocols.

Disqualifiers

Known allergy or hypersensitivity to local anesthetics.

Presence of bleeding disorders or anticoagulant use.

History of chronic opioid use or opioid dependence.

Anatomical abnormalities or conditions preventing the application of regional anesthesia (e.g., chest wall deformities).

Trial design

Design model

Parallel

Treatments tested in this trial

  • Rhomboid Intercostal Block (RIB)

    Procedure/Surgery

    Rhomboid Intercostal Block (RIB) A regional anesthesia technique administered under ultrasound guidance for postoperative pain relief. This will be used as the sole intervention in Arm 1.

  • Rhomboid Intercostal Block (RIB) + Serratus Anterior Plane Block (SAPB)

    Procedure/Surgery

    A combination of two regional anesthesia techniques, Rhomboid Intercostal Block (RIB) and Serratus Anterior Plane Block (SAPB),(THE SAPB will received within 24 hours after RIB) administered under ultrasound guidance. SAPB targets the lateral cutaneous branches of the thoracic nerves, complementing the pain relief provided by RIB. This combination is used in Arm 2 to enhance postoperative analgesia.

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: Arm 1 (RIB Only)Experimental treatment 1 intervention
Group B: Arm 2 (RIB + SAPB)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Pain Severity

Postoperative pain will be assessed using the Visual Analog Scale for pain which higher score mean more pain at various time intervals (e.g., 1,12, 24, 36 and 48 hours post-surgery).

Time frame
48 hours post-surgery.

Secondary outcomes

1

Opioid Consumption

Total opioid consumption (measured in morphine milligram equivalents) during the first 48hours post-surgery.

Time frame
48 hours post-surgery.

Other outcomes

Sponsors and contacts

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Al-Quds University

Lead sponsor

Source ClinicalTrials.gov
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