Rhomboid Intercostal and Subserratus Plane Block vs Erector Spinae Plane Block in Video-Assisted Thoracoscopic Surgery

NCT ID: NCT07011069

Last Updated: 2025-06-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-15

Study Completion Date

2026-12-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Video Assisted Thoracoscopic Surgery Regional Block for Pain Control Regional Blocks Pulmonary Functions

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Patients who received ESP block

Those who received the erector spinae plane block for postoperative pain management

Group Type ACTIVE_COMPARATOR

ESP block group

Intervention Type PROCEDURE

ESP blocks are performed for patients undergoing VATS.

Patients who received RISS block

Those who received the rhomboid intercostal subserratus plane block for postoperative pain management

Group Type ACTIVE_COMPARATOR

RISS block group

Intervention Type PROCEDURE

RISS blocks are performed for patients undergoing VATS.

Interventions

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ESP block group

ESP blocks are performed for patients undergoing VATS.

Intervention Type PROCEDURE

RISS block group

RISS blocks are performed for patients undergoing VATS.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients who will undergo VATS
* Who agrees to participate
* American Society of Anesthesiologists (ASA) physical status I, II, and III
* Elective surgery
* Age between 18 and 80 years

Exclusion Criteria

* Local anesthetic allergy
* Who disagrees to participate
* ASA physical status IV and V
* Emergency surgery
* Hemorrhagic disease
* Thoracic vertebrae deformity
* Thoracic vertebrae surgery
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bursa City Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Hande Gurbuz

Assoc. Prof., MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of Health Sciences, Bursa City Hospital

Bursa, Nilufer, Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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Hande Gurbuz, Assoc Prof, MD, PhD

Role: CONTACT

+905336515650

Yusuf Alan, MD

Role: CONTACT

+90 539 621 09 77

Facility Contacts

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Hande Gurbuz

Role: primary

+905336515650

Role: backup

References

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Forero M, Rajarathinam M, Adhikary S, Chin KJ. Erector spinae plane (ESP) block in the management of post thoracotomy pain syndrome: A case series. Scand J Pain. 2017 Oct;17:325-329. doi: 10.1016/j.sjpain.2017.08.013. Epub 2017 Sep 12.

Reference Type BACKGROUND
PMID: 28919152 (View on PubMed)

Elsharkawy H, Maniker R, Bolash R, Kalasbail P, Drake RL, Elkassabany N. Rhomboid Intercostal and Subserratus Plane Block: A Cadaveric and Clinical Evaluation. Reg Anesth Pain Med. 2018 Oct;43(7):745-751. doi: 10.1097/AAP.0000000000000824.

Reference Type BACKGROUND
PMID: 30169476 (View on PubMed)

Hsieh MJ, Wang KC, Liu HP, Gonzalez-Rivas D, Wu CY, Liu YH, Wu YC, Chao YK, Wu CF. Management of acute postoperative pain with continuous intercostal nerve block after single port video-assisted thoracoscopic anatomic resection. J Thorac Dis. 2016 Dec;8(12):3563-3571. doi: 10.21037/jtd.2016.12.30.

Reference Type BACKGROUND
PMID: 28149550 (View on PubMed)

Other Identifiers

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2024-11/4 24-AKD-209

Identifier Type: -

Identifier Source: org_study_id

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