Erector Spinae Plane Block Versus Serratus Anterior Plane Block in VATS

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-70
SponsorAin Shams University

About this trial

Pain control remains challenging in patients undergoing video-assisted thoracoscopic surgery (VATS). It is advised to use a regional block to lower postoperative opioid usage. This study evaluates efficacy of Erector spinae plane (ESP) block in comparison to Serratus anterior plane block (SAP) in pain management for patients undergoing video-assisted thoracoscopic surgery(VATS).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

body mass index (BMI)=18 to 40 kg/m2

Disqualifiers

Contraindications to regional anesthesia as bleeding disorders , allergy to local anesthetic or infection at block site

pre-existing chronic pain

history of opiate abuse

sepsis

Trial design

Design model

Parallel

Treatments tested in this trial

  • Erector Spinae Plane Block (ESPB) group

    Procedure/Surgery

    30ml of 0.25% levobupivacaine for erector spinae block at level of T5

  • Serratus Anterior Plane Block (SAPB) group

    Procedure/Surgery

    30 mL of 0.25% levobupivacaine injected anteriorly to the rib and deep to the serratus anterior at level of 5 th rib

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: Group A: Erector spinae block groupActive comparator 1 intervention
Group B: group B: Serratus anterior block groupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

post operative opioid consumption

post operative meperidine consumption throughout

Time frame
24 hours post operative

Secondary outcomes

1

intraoperative fentanyl consumption

total introperative fentanyl dose

Time frame
during the surgery
2

the numerical rating scale

a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0 to 10 integers) that best reflects the intensity of their pain. 0 representing one pain extreme (e.g., "no pain") and 10 representing the other pain extreme (e.g., "pain as bad as you can imagine" and "worst pain imaginable")

Time frame
24 hours post operative

Other outcomes

Sponsors and contacts

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