Actively Recruiting

Phase Not Applicable
Age: 18Years - 65Years
All Genders
ID07394673

Postoperative Analgesic Efficacy of Ultrasound-Guided Serratus Posterior Superior Intercostal Plane Block in Arthroscopic Shoulder Surgery

Led by Bursa City Hospital · Updated on 2026-03-27

80

Participants Needed

1

Research Sites

13 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the effectiveness of the serratus posterior superior intercostal plane (SPSIP) block to manage postoperative pain in patients undergoing arthroscopic shoulder surgery. This study focuses on improving pain control which is important for recovery, mobility, hospital stay length, patient satisfaction, and surgical outcomes. The SPSIP block is a new regional analgesia technique aiming to provide sensory blockade in the neck, shoulder, and side of the chest. The study compares two groups: one receiving an ultrasound-guided SPSIP block before surgery and a control group receiving no block procedure. The SPSIP block is done with a needle guided by ultrasound to inject local anesthetic between specific muscles near the ribs. The injection uses 30 mL of 0.25% bupivacaine to provide pain relief. Surgery is performed under general anesthesia for all participants. Participants will be monitored for opioid use via patient-controlled analgesia over 48 hours after surgery, along with pain scores at multiple time points. Recovery quality, rescue pain medication use, hospital stay length, adverse effects related to the block or opioids, and anesthesia drug doses are also assessed. The study involves randomized allocation and double masking, with follow-up assessments during the first two postoperative days.

CONDITIONS

Brief Title

Ultrasound-Guided Serratus Posterior Superior Intercostal Plane Block for Analgesia in Arthroscopic Shoulder Surgery

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Classified as American Society of Anesthesiologists (ASA) physical status I-II-III
  • Scheduled for elective shoulder arthroscopy surgery
  • Surgery performed under general anesthesia
  • Provision of written informed consent
Not Eligible

You will not qualify if you...

  • Use of anticoagulant or antiplatelet medications
  • Presence of bleeding diathesis or coagulation disorders
  • Known allergy or hypersensitivity to local anesthetics or opioid medications
  • Infection or history of previous surgery at the planned block site
  • Alcohol or drug dependence
  • Cognitive impairment preventing reliable pain assessment using the NRS
  • Pregnancy or lactation
  • Diabetes mellitus
  • Renal or hepatic impairment

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Day of surgery

Participants receive an ultrasound-guided serratus posterior superior intercostal plane block before arthroscopic shoulder surgery under general anesthesia or do not receive the block depending on their group assignment.

1 visit on the day of surgery (in-person)

Post-operative Follow-up

Duration - 48 hours postoperatively

Participants are monitored for pain management, analgesic consumption, recovery scores, and adverse effects for 48 hours after surgery.

Multiple assessments at 0, 2, 4, 8, 16, 24, and 48 hours after surgery

Trial Site Locations

Total: 1 location

1

Bursa City Hospital

Bursa, Turkey (Türkiye), 16110

Actively Recruiting

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Research Team

M

Mursel Ekinci, Assoc prof, MD

M

Merih Yıldız Eglen, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Frequently Asked Questions

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Published Research Related To This Trial

Efficacy of serratus posterior superior intercostal plane block (SPSIPB) on post-operative pain and total analgesic consumption in patients undergoing video-assisted thoracoscopic surgery (VATS): A double-blinded randomised controlled trial.

Onur Avci, Oğuz Gundogdu, Fatih Balci...

https://pubmed.ncbi.nlm.nih.gov/38343684

Novel Serratus Posterior Superior Intercostal Plane Block Provided Satisfactory Analgesia after Breast Cancer Surgery: Two Case Reports.

Gökçen Kültüroğlu, Savaş Altınsoy, Yusuf Özgüner...

https://pubmed.ncbi.nlm.nih.gov/38414179

Serratus Posterior Superior Intercostal Plane Block: A Technical Report on the Description of a Novel Periparavertebral Block for Thoracic Pain.

Serkan Tulgar, Bahadır Ciftci, Ali Ahiskalioglu...

https://pubmed.ncbi.nlm.nih.gov/36883093