Actively Recruiting
Paravertebral Block or Serratus Posterior Superior Intercostal Plane Block in Pain Management After Video-Assisted Thoracoscopic Surgery: A Randomized Controlled Clinical Trial
Led by Koç University · Updated on 2025-01-03
44
Participants Needed
1
Research Sites
4 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This trial is investigating pain management options for patients undergoing video-assisted thoracoscopic surgery (VATS). It compares two nerve block techniques: the thoracal paravertebral block (TPVB), considered the standard, and a newer method called serratus posterior superior intercostal plane block (SPSIPB). The study aims to see how these blocks affect postoperative opioid use, pain levels, and side effects related to opioids. Participants are randomly assigned to receive either a TPVB or an SPSIPB before surgery. Both blocks involve a single dose of 30 ml of 0.25% bupivacaine administered under ultrasound guidance by an experienced anesthesiologist. After surgery, patients are monitored for 24 hours to track opioid consumption, pain scores using a numeric rating scale, and any opioid-related side effects. During the 24-hour postoperative period, researchers will assess participants' total opioid use, pain severity, and side effects. They will also evaluate satisfaction with pain control from both patients and surgical teams. The study lasts for this immediate perioperative period, focusing on early recovery after VATS.
CONDITIONS
Brief Title
TPVB or SPSIPB in Pain Management After VATS
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients between the age of 18-80 undergoing video-assisted thoracoscopic surgery
You will not qualify if you...
- Allergy to local anaesthetics
- Chronic opioid use history
- Patients with psychiatric disorders
- Patients who are not open to communication
- Patients with chronic organ failure
- Patients that do not give consent
- Patients that need emergency surgery within the first 24 hours of the initial surgery
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Single day (preoperative and surgery day)
Participants receive either a serratus posterior superior intercostal plane block or a thoracal paravertebral block before surgery to manage pain during video-assisted thoracoscopic surgery.
1 preoperative visit (in-person)
Duration - 24 hours post-surgery
Participants are monitored for 24 hours after surgery to record total opioid consumption, pain scores, and opioid-related side effects.
1 follow-up visit within 24 hours after surgery (in-person)
Trial Site Locations
Total: 1 location
1
Koc University
Istanbul, Turkey (Türkiye), 34010
Actively Recruiting
Research Team
K
Kamil Darçın, MD
Y
Yasemin Sincer, MD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
OTHER
Number of Arms
2
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