Evaluating the Effect of Adding Serratus Anterior Plane Block to Rhomboid Intercostal Block for Pain Relief After Video-Assisted Thoracoscopic Surgery in Adults

What this Trial Is About

Researchers are evaluating whether adding a Serratus Anterior Plane Block SAPB to the standard Rhomboid Intercostal Block RIB improves postoperative pain control in patients undergoing Video-Assisted Thoracoscopic Surgery VATS. This randomized controlled trial addresses the challenge of pain after VATS, aiming to reduce opioid use and improve patient satisfaction by combining two regional anesthesia techniques targeting different nerve pathways. Participants are divided into two groups one receives RIB alone, and the other receives RIB plus SAPB within 24 hours after RIB. Both blocks are performed under ultrasound guidance to provide targeted pain relief. The study compares pain levels, opioid consumption, and patient satisfaction between the two groups during the first 48 hours after surgery. During the study, pain severity will be measured using the Visual Analog Scale VAS at multiple time points within 48 hours post-surgery. Researchers will also track opioid use and collect patient satisfaction data through questionnaires. Safety and any adverse effects related to the anesthesia techniques will be monitored. The trial involves adult patients aged 18 to 70 undergoing VATS, with participation lasting through the immediate postoperative period for assessment.

Assessing the Impact of Additional Serratus Anterior Block Within 24-Hour on Postoperative Pain After Rhomboid Intercostal Block in VATS Patients