Comprasion of SPSIP and Rhomboid Intercostal Plan Blocks on VATS

ConditionPostoperative Pain Management

Trial statusRecruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age18+

SponsorCumhuriyet University

About this trial

This study aimed to compare rhomboid intercostal plane block and serratus posterior superior intercostal plane block (SPSIPB) to determine the most suitable technique for maintaining postoperative analgesia in video-assisted thoracoscopic surgeries (VATS).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Forty adult patients scheduled for elective wedge resection or biopsy under VATS, classified as American Society of Anesthesiologists (ASA) physical status I-III, were enrolled after providing written informed consent.

Disqualifiers

ASA class IV or higher,

morbid obesity (BMI > 40 kg/m²),

body weight ≤ 50 kg,

skin infection at the block site,

Trial design

Design model

Parallel

Treatments tested in this trial

RIB BLOCK
Procedure/Surgery
30 mL of 0.25% bupivacaine was injected deep to the rhomboid intercostal spinal block.
SPSIP block
Procedure/Surgery
The USG probe was placed 2-3 cm medial to the scapular spine to visualize the trapezius, rhomboid major, and serratus posterior superior muscles. At the level of the 2nd-3rd ribs, a needle was advanced into the plane between the serratus posterior superior muscle and the rib. After confirming negative aspiration, 30 mL of 0.25% bupivacaine was injected. The block was performed unilaterally, targeting the surgical hemithorax.

Treatment groups

40 Participants

are divided into 2 treatment groups

Group A: SPSIP BLOCKActive comparator 1 intervention

Group B: RIB BLOCKActive comparator 1 intervention

Trial outcomes

Primary outcomes

NUMERICAL RATING SCORE(NRS)

Numerical rating scale is used for pain assessment. The scores of the numerical rating scale changes between 0 to 10 points. 10 points mean "the most severe pain that the patient ever had". 0 point means "there is no pain." Higher scores mean worse outcome.

Time frame

postoperative 24 hours

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Cumhuriyet University

Lead sponsor

Source ClinicalTrials.gov

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