Comparing Pain Relief Using SPSIP Block or Intercostal Nerve Block After Video-Assisted Thoracoscopic Surgery

What this Trial Is About

Researchers are evaluating the effectiveness of Serratus Posterior Superior Intercostal Plane SPSIP block compared to Intercostal Nerve ICN block for managing pain after video-assisted thoracoscopic surgery VATS. This study aims to compare these two methods in terms of controlling postoperative pain, reducing opioid use, minimizing respiratory complications after surgery, and improving patient satisfaction measured by a 5-point Likert scale. In this prospective observational study, patients receive both the SPSIP block and the ICN block for pain relief after surgery. The SPSIP block is done by an anesthesiologist using ultrasound guidance right after skin closure and before the breathing tube is removed. The ICN block is performed by the surgeon under direct vision just before skin closure. During surgery, patients also receive paracetamol and dexketoprofen. After surgery, patients use a patient-controlled analgesia PCA pump with tramadol, and if pain remains high, rescue doses of dexketoprofen are given. Participants will have their pain levels assessed at multiple times up to 24 hours after surgery using the Numerical Pain Rating Scale at rest and while coughing. Researchers will track total opioid use, rescue analgesic use, any complications, and patient satisfaction 24 hours after surgery. This thorough monitoring helps understand the benefits and potential risks of both pain control methods in the early recovery period.

Analgesic Efficiency of SIPSPB vs ICNB in VATS Surgery