Actively Recruiting
Comparing Serratus Posterior Superior Intercostal Plane Block and Serratus Anterior Plane Block for Non-Intubated Uniportal Video-Assisted Thoracoscopic Surgery
Led by Firat University · Updated on 2026-02-27
70
Participants Needed
1
Research Sites
N/A
Total Duration
AI-Summary
What this Trial Is About
Researchers are evaluating the effects of two different regional anesthesia techniques, the serratus posterior superior intercostal plane block SPSIPB and the serratus anterior plane block SAPB, in patients undergoing non-intubated uniportal video-assisted thoracoscopic surgery NI-UniVATS. This minimally invasive surgical method is notable for avoiding intubation, maintaining spontaneous breathing, and reducing complications and recovery time. The trial aims to compare the intraoperative anesthetic and analgesic effects of SPSIPB, a recently described block, with the more commonly used SAPB to determine if SPSIPB provides similar pain control and anesthesia requirements during surgery. The study is a prospective, randomized, double-blind trial including 70 patients aged 18 to 65 years with certain health criteria. Participants are randomly assigned to receive either the SPSIPB or SAPB under ultrasound guidance before NI-VATS. SPSIPB involves injecting a local anesthetic near the serratus posterior superior muscle, while SAPB targets the myofascial plane near the serratus anterior muscle. Both techniques use specific volumes and concentrations of anesthetic and are performed with patients positioned laterally. Patients are monitored closely during and after the blocks, including nebulized lidocaine administration in the SPSIPB group to suppress cough reflex. During the trial, researchers will track anesthetic and analgesic use during surgery, postoperative pain using a numerical rating scale, total analgesic consumption, time to first rescue analgesia, recovery scores, and any block-related complications. Pain and analgesic use are assessed at multiple times up to 24 hours after surgery. The trial runs from January to August 2026, with careful monitoring to evaluate the effectiveness and safety of each block method in this surgical setting.
CONDITIONS
Brief Title
Comparison of SPSIP Block and SAP Block in Non-Intubated Uniportal VATS.
Research Team
A
AHMET AKSU, Assistant Professor
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