Actively Recruiting
Led by Kocaeli City Hospital · Updated on 2026-05-20
80
Participants Needed
1
Research Sites
N/A
Total Duration
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.
CONDITIONS
Analgesic Efficiency of SIPSPB vs ICNB in VATS Surgery
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Day of surgery
Participants undergo video-assisted thoracoscopic surgery (VATS) during which they receive either a Serratus Posterior Superior Intercostal Plane (SPSIP) block or an Intercostal Nerve (ICN) block for postoperative pain relief, along with paracetamol and dexketoprofen. After surgery, participants are connected to a patient-controlled analgesia (PCA) pump containing tramadol for pain management.
1 surgical visit and immediate recovery
Duration - 24 hours after surgery
Participants have their postoperative pain assessed using the Numerical Pain Rating Scale at multiple time points up to 24 hours after surgery. Total opioid consumption, use of rescue analgesics, postoperative complications, and patient satisfaction are recorded during this period.
Assessments at 1, 4, 6, 12, 18, and 24 hours postoperatively
Total: 1 location
1
Kocaeli City Hospital
İzmit, Turkey (Türkiye)
Actively Recruiting
A
Abdullah Bozkurt
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
2
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https://pubmed.ncbi.nlm.nih.gov/36883093