NCT Number: NCT07011069
To compare the rhomboid intercostal subserratus plane block with the erector spinae plane block regarding their analgesic efficacy and effects on respiratory function for patients undergoing video-assisted thoracoscopic surgery.
Interested in participating?
Request Info18 year–80 year
All sexes
Interventional
Not applicable
Bursa, Nilufer, 16110, Turkey (Türkiye)
Location status: Recruiting
Hande Gurbuz
CONTACT
Hande Gurbuz, Assoc Prof, MD, PhD
PRINCIPAL_INVESTIGATOR
Yusuf Alan, MD
SUB_INVESTIGATOR
CONTACT
Video-assisted thoracoscopic surgery (VATS) can be very painful and may lead to complications such as prolonged stays in intensive care, thromboembolic complications due to lack of early mobilization, chronic acute pain, and delirium if adequate analgesia is not provided. Therefore, using thoracic epidural, paravertebral, or regional blocks as part of multimodal analgesia is recommended to provide effective pain relief.
This study aims to compare the effects of the erector spinae plane block (ESP) and rhomboid intercostal subserratus plane block (RISS) on postoperative analgesia and the improvement of respiratory parameters in patients undergoing VATS.
The primary objective is to evaluate total analgesic consumption in the first 24 hours postoperatively. Secondary objectives include assessing active and dynamic pain scores, triflow performance, complications, and the length of hospital stays.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
ESP blocks are performed for patients undergoing VATS.
RISS blocks are performed for patients undergoing VATS.
Time frame: Postoperative first 24 hours.
Total opioid consumption within the first 24 hours in the postoperative period.
Time frame: Postoperative first 24 hours.
Postoperative pain scores during coughing and deep breathing are measured on a 10 cm scale, where "0" indicates no pain and "10" indicates the worst pain ever.
Time frame: Postoperative first 24 hours.
Postoperative pain scores during rest are measured on a 10 cm scale, where "0" indicates no pain and "10" indicates the worst pain ever.
Time frame: Postoperative first 24 hours.
Pulmonary functions are assessed using Triflow performance. Postoperative Triflow numbers (whether 1, 2, or 3 balls can be raised) for the patients are recorded.
Time frame: Through study completion, an average of 1 year
Complications regarding regional blocks and surgery (such as hematoma, pulmonary complications) are recorded.
Time frame: Perioperatively
The length of hospital stay is recorded.
Contact information is provided by the study sponsor or research team.
Hande Gurbuz, Assoc Prof, MD, PhD
CONTACT
Yusuf Alan, MD
CONTACT
Bursa City Hospital
Other Gov
Comparison of the Efficacy of Rhomboid Intercostal and Subserratus Plane Block (RISS) Versus Erector Spinae Plane (ESP) Blocks in Video-Assisted Thoracoscopic Surgery (VATS) for Postoperative Pain Management and Respiratory Function
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