Rhomboid Intercostal and Subserratus Plane Block vs Erector Spinae Plane Block in Video-Assisted Thoracoscopic Surgery
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
1 other identifier
interventional
90
1 country
1
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Nov 2024
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 15, 2024
CompletedFirst Submitted
Initial submission to the registry
May 23, 2025
CompletedFirst Posted
Study publicly available on registry
June 8, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2026
June 8, 2025
May 1, 2025
2 years
May 23, 2025
June 4, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Opioid consumption
Total opioid consumption within the first 24 hours in the postoperative period.
Postoperative first 24 hours.
Secondary Outcomes (5)
Dynamic pain score
Postoperative first 24 hours.
Resting pain score
Postoperative first 24 hours.
Pulmonary functions
Postoperative first 24 hours.
Complications
Through study completion, an average of 1 year
Hospital stay time
Perioperatively
Study Arms (2)
Patients who received ESP block
ACTIVE COMPARATORThose who received the erector spinae plane block for postoperative pain management
Patients who received RISS block
ACTIVE COMPARATORThose who received the rhomboid intercostal subserratus plane block for postoperative pain management
Interventions
ESP blocks are performed for patients undergoing VATS.
RISS blocks are performed for patients undergoing VATS.
Eligibility Criteria
You may qualify if:
- 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
You may not qualify if:
- Local anesthetic allergy
- Who disagrees to participate
- ASA physical status IV and V
- Emergency surgery
- Hemorrhagic disease
- Thoracic vertebrae deformity
- Thoracic vertebrae surgery
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Health Sciences, Bursa City Hospital
Bursa, Nilufer, 16110, Turkey (Türkiye)
Related Publications (3)
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.
PMID: 28919152BACKGROUNDElsharkawy 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.
PMID: 30169476BACKGROUNDHsieh 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.
PMID: 28149550BACKGROUND
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assoc. Prof., MD, PhD
Study Record Dates
First Submitted
May 23, 2025
First Posted
June 8, 2025
Study Start
November 15, 2024
Primary Completion (Estimated)
November 30, 2026
Study Completion (Estimated)
December 31, 2026
Last Updated
June 8, 2025
Record last verified: 2025-05
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP
- Time Frame
- 2026 to 2027
- Access Criteria
- The data sets used in this research may be made available upon reasonable request to the corresponding author.
The data sets used in this research may be made available upon reasonable request to the corresponding author.