Pain Control and Recovery After Thoracic Surgery Using SPSIP Block
ConditionPostoperative Pain
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-75
SponsorIzmir Katip Celebi University
About this trial
Thoracic surgery is frequently associated with significant postoperative pain, which may impair respiratory function, mobilization, recovery, and patient satisfaction. The Serratus Posterior Superior Intercostal Plane (SPSIP) block is a recently described ultrasound-guided fascial plane block that may provide effective analgesia after thoracic surgery. This prospective observational cohort study will evaluate the analgesic effectiveness and postoperative recovery associated with SPSIP block in adult patients undergoing elective minor video-assisted thoracoscopic surgery (VATS), major VATS, or thoracotomy. All patients will receive SPSIP block as part of routine institutional multimodal analgesia. The primary outcome will be postoperative quality of recovery assessed using the Quality of Recovery-15 (QoR-15) questionnaire at 24 hours after surgery. Secondary outcomes will include postoperative pain intensity, opioid consumption, rescue analgesic requirements, postoperative nausea and vomiting, pulmonary complications, patient satisfaction, length of hospital stay, and chronic postoperative pain.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age 18 years or older
American Society of Anesthesiologists (ASA) physical status I-III
Scheduled for elective thoracic surgery
Undergoing minor video-assisted thoracoscopic surgery (VATS), major VATS, or thoracotomy
Disqualifiers
Patient refusal
Known allergy to amide local anesthetics
Coagulopathy
Therapeutic anticoagulation incompatible with regional anesthesia
Trial population
Adults undergoing elective minor VATS, major VATS, or thoracotomy under general anesthesia who receive SPSIP block as part of routine multimodal analgesia
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Ultrasound-Guided Serratus Posterior Superior Intercostal Plane Block
Procedure/SurgeryAn ultrasound-guided Serratus Posterior Superior Intercostal Plane (SPSIP) block will be performed after induction of general anesthesia according to routine institutional clinical practice using a long-acting local anesthetic.
Treatment groups
110 Participants
are divided into 3 treatment groupsGroup A: Minor VATS1 intervention
Group B: Major VATS1 intervention
Group C: Thoracotomy1 intervention
Trial outcomes
Primary outcomes
1
Quality of Recovery-15 Score at 24 Hours
Postoperative quality of recovery will be assessed using the 15-item Quality of Recovery questionnaire (QoR-15). Higher scores indicate better postoperative recovery. QoR-15 scores will be compared among the minor VATS, major VATS, and thoracotomy cohorts.
Time frame
24 hours after surgerySecondary outcomes
1
Total Opioid Consumption During the First 24 Postoperative Hours
Total opioid consumption during the first 24 hours after surgery will be calculated and converted to morphine milligram equivalents (MME) to allow comparison among the three surgical cohorts.
Time frame
0 to 24 hours after surgery2
Pain Intensity at Rest Upon Admission to the PACU
Postoperative pain intensity at rest will be assessed using the 11-point Numeric Rating Scale (NRS), ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater pain intensity and therefore a worse outcome.
Time frame
Upon admission to the post-anesthesia care unit (PACU)3
Pain Intensity at Rest at 2 Hours
Postoperative pain intensity at rest will be assessed using the 11-point Numeric Rating Scale (NRS), ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater pain intensity and therefore a worse outcome.
Time frame
2 hours after the end of surgery4
Pain Intensity at Rest at 6 Hours
Postoperative pain intensity at rest will be assessed using the 11-point Numeric Rating Scale (NRS), ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater pain intensity and therefore a worse outcome.
Time frame
6 hours after the end of surgerySponsors and contacts
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Source ClinicalTrials.gov
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