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Completed

NCT Number: NCT06073197

Comparison of Erector Spinae Block and Combined Deep and Superficial Serratus Anterior Plane Block

Objective: The authors hypothesized that combined deep and superficial serratus anterior plane block (SAPB) is as effective as erector spinae plane block (ESPB) for intraoperative and postoperative analgesia for video-assisted thoracoscopic surgery.

Design: A prospective randomized controlled study. Participants: Adult patients undergoing elective video-assisted thoracoscopic surgery.

Interventions: Preoperative SAPB or ESPB implementation.

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Key information

Conditions

Analgesia Agnosia Anesthesia Nervous System Diseases Neurobehavioral Manifestations Neurologic Manifestations Pain Pain, Postoperative Pathologic Processes Pathological Conditions, Signs and Symptoms Perceptual Disorders Postoperative Complications Signs and Symptoms Thoracic

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Bursa Uludag University

Bursa, Turkey (Türkiye)

About this study

Plane blocks implemented on preoperative course on 35 patients for each group. Postoperative Visual Analogue Scale (VAS) scores (0-10), intraoperative and postoperative analgesic consumption was measured using Mann-Whitney test. In the postoperative phase, opioid side effects, complications related to plane blocks, mobilization time and length of hospital stay was recorded and measured.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • American Society of Anaesthesiologists (ASA) classification I-II scheduled for elective VATS

Exclusion criteria

  • Patients who did not give consent
  • Local anaesthetic allergy
  • Known or suspected coagulopathy
  • İnfection at the injection site
  • History of thoracic surgery
  • Severe cardiovascular disease
  • Hepatic or renal insufficiency (glomerular filtration rate <15 ml/min/1.73 m2)
  • Severe neurological or psychiatric disorders
  • Chronic opioid use

Treatment and study plan

Erector Spinae Plane Block

Procedure

Erector spinae plane block was implemented on preoperative course on 35 patients. Intraoperative analgesic (Fentanyl) consumption was measured for intraoperative effects of the erector spinae plane block. Postoperative Visual Analogue Scale (VAS, from 0 to 10) scores and postoperative analgesic (Morphine) consumption was measured using Mann-Whitney test.

combined deep and superficial serratus anterior plane block

Procedure

Combined deep and superficial serratus anterior plane block was implemented on preoperative course on 35 patients. Intraoperative analgesic (Fentanyl) consumption was measured for intraoperative effects of the erector spinae plane block Postoperative Visual Analogue Scale (VAS, from 0 to 10) scores and postoperative analgesic (Morphine) consumption was measured using Mann-Whitney test.

Primary outcomes

  1. postoperative analgesic effects

    Time frame: first 48 hours

    The primary outcome is compare the postoperative analgesic effects of SAPB and ESPB applied under USG guidance before surgery in patients scheduled for VATS using VAS (Visual Analogue Scale from 0 to 10).

  2. intraoperative analgesic effects

    Time frame: intraoperative phase

    The primary outcome is compare the intraoperative analgesic effects of SAPB and ESPB applied under USG guidance before surgery in patients scheduled for VATS by measuring perioperative fentanyl consumption in both groups.

Secondary outcomes

  1. side effects

    Time frame: first 48 hours

    The secondary aim was to compare the opioid side effects. Patients were informed about opioid side effects and asked whether side effects were present.

  2. complications

    Time frame: first 48 hours

    The secondary aim was to compare the complications related to the applied block. Patients were examined and evaluated for any complications related to the block.

  3. mobilization

    Time frame: first 48 hours

    The secondary aim was to compare the mobilization time

  4. stay of hospital

    Time frame: first 4 days

    length of stay in the recovery unit and hospital

Sponsors and collaborators

Lead sponsor

Uludag University

Other

Registry information

Official study title

Comparision of the Effects of Ultrasound-guided Erector Spinae Block and Combined Deep and Superficial Serratus Anterior Plane Block on Perioperative Analgesia for Video-assisted Thoracoscopic Surgery.

Important dates

Study start
2020
Primary completion
2021
Study completion
2021
First posted
Oct 10, 2023
Registry last updated
Oct 10, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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