Comparing Serratus Intercostal Plane Block and Erector Spinae Plane Block for Pain Relief After Open Kidney Surgery

What this Trial Is About

Effective management of pain after open nephrectomy, a surgery to remove a kidney, is challenging because poor pain control can cause breathing problems, delayed movement, longer hospital stays, increased opioid use, and more complications. This research compares two types of ultrasound-guided nerve blocks, the serratus intercostal plane SIPB block and the erector spinae plane ESP block, to see which provides better pain relief after this surgery. Participants are randomly assigned to one of two groups one receives the SIPB and the other the ESP block. Both blocks are performed by an experienced anesthesiologist after the patient is under general anesthesia. The SIPB targets nerves in the lateral chest wall, while the ESP block targets nerves near the spine. Each block uses 25 mL of 0.25% bupivacaine injected under ultrasound guidance. Standardized general anesthesia is given to all patients, and the blocks are done before surgery begins. Throughout the study, patients will be monitored for pain using the Visual Analogue Scale VAS at multiple time points up to 12 hours after surgery. Additional assessments include the success of the nerve block, opioid use in 24 hours, time to first pain medication request, side effects, and hospital stay length. Patients undergo preoperative evaluations including blood tests and heart monitoring. Safety measures are in place to manage any adverse reactions during the procedure. The study plans to enroll 132 adults aged 18 to 65 undergoing open nephrectomy, with close monitoring during and after surgery.

Comparison of Serratus Intercostal Plane Blcok With Erector Spinae Plane Block for Open Nephrectomy