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

NCT07394673 | Recruiting

• 1 other identifier: BursaCityHOS 4
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to evaluate the effectiveness of serratus posterior superior intercostal plane (SPSIP) block in managing postoperative pain in patients undergoing arthroscopic shoulder surgery.

Conditions

Postoperative Pain, Acute; Shoulder Pain; Serratus Posterior Superior Intercostal Plane Block

Keywords

postoperative analgesia; shoulder arthroscopy; serratus posterior superior intercostal plane block

Outcome Measures

Primary Outcomes (1)

• Postoperative 48-Hour PCA Opioid Consumption

  Total amount of opioid delivered by the patient-controlled analgesia (PCA) device during the first 48 hours after surgery, recorded in milligrams(mg)

  Postoperative 0-8, 8-16, 16-24, 24-48 intervals

Secondary Outcomes (7)

• QoR-15 Recovery Score

  Postoperative 24th and 48th hours

• Dynamic and static NRS scores

  0, 2, 4, 8, 16, 24, and 48 hours postoperatively

• Total rescue analgesic dose

  Postoperative 24th and 48th hours

• Time of first request for rescue analgesia,

  Postoperative 48-Hours

• Length of Hospital Stay

  the day of surgery, the day of discharge from the hospital

Study Arms (2)

Group SPSIP

ACTIVE COMPARATOR

Group SPSIP Participants in this arm will receive an ultrasound-guided serratus posterior plane block .

Procedure: Group SPSIP: Serratus Posterior Superior İntercostal Plane Block (SPSIP)

Group Control

NO INTERVENTION

No block procedures will be performed on patients in this arm

Interventions

Group SPSIP: Serratus Posterior Superior İntercostal Plane Block (SPSIP) PROCEDURE

Serratus Posterior Superior İntercostal Plane (SPSIP) Block will be performed before the surgery in seated position, under standard sterilization conditions.A linear ultrasound probe will be placed in the sagittal plane along the medial border of the scapula, and the second and third ribs, relevant muscles, and the pleura will be identified. The needle will be advanced into the interfascial plane between the serratus posterior superior and intercostal muscles. After confirmation with salin injection , the block will be performed by injecting 30 mL of 0.25% bupivacaine, and the cranio-caudal spread will be visualized under ultrasound.

Group SPSIP

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Bursa City Hospital: lead

Study Sites (1)

Bursa City Hospital

Bursa, 16110, Turkey (Türkiye)

RECRUITING

Related Publications (3)

• Avci O, Gundogdu O, Balci F, Tekcan MN, Ozbey M. 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. Indian J Anaesth. 2023 Dec;67(12):1116-1122. doi: 10.4103/ija.ija_589_23. Epub 2023 Dec 13.

  PMID: 38343684 BACKGROUND

• Kulturoglu G, Altinsoy S, Ozguner Y, Cataroglu CK. Novel Serratus Posterior Superior Intercostal Plane Block Provided Satisfactory Analgesia after Breast Cancer Surgery: Two Case Reports. Turk J Anaesthesiol Reanim. 2024 Feb 28;52(1):33-35. doi: 10.4274/TJAR.2024.231431.

  PMID: 38414179 BACKGROUND

• Tulgar S, Ciftci B, Ahiskalioglu A, Bilal B, Sakul BU, Korkmaz AO, Bozkurt NN, De Cassai A, Torres AJ, Elsharkawy H, Alici HA. Serratus Posterior Superior Intercostal Plane Block: A Technical Report on the Description of a Novel Periparavertebral Block for Thoracic Pain. Cureus. 2023 Feb 3;15(2):e34582. doi: 10.7759/cureus.34582. eCollection 2023 Feb.

  PMID: 36883093 BACKGROUND

MeSH Terms

Conditions

Pain, Postoperative; Shoulder Pain

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms; Arthralgia; Joint Diseases; Musculoskeletal Diseases

Study Officials

• Merih Yıldız Eglen, MD

  Bursa City Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Mursel Ekinci, Assoc prof, MD

CONTACT

+905067137596; drmurselekinci@gmail.com

Merih Yıldız Eglen, MD

CONTACT

+905059340629; Meriheg@yahoo.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator, MD

Model Details: Active Comparator: Group SPSIP: Participants in this arm will receive an ultrasound-guided serratus posterior superior intercostal plane block before the surgery. Patients will be taken to the operating room after sensory and motor block assessment. Control group: No block procedures will be performed on patients in this arm. Both groups will receive general anesthesia using the standard anesthesia method; induction with lidocaine, propofol, fentanyl, and rocuronium. Maintenance will be provided by inhalation anesthesia and remifentanil infusion. Before the end of surgery, all patients will receive paracetamol, Tramadol, and Tenoxicam intravenously as standard postoperative analgesia. After surgery, patients will be extubated and taken to the post-anesthesia care unit. Patient-controlled analgesia devices will be attached to all patients in the post-anesthesia care unit.

Study Record Dates

• First Submitted: January 29, 2026
• First Posted: February 6, 2026
• Study Start: February 20, 2026
• Primary Completion (Estimated): April 20, 2026
• Study Completion (Estimated): July 20, 2026
• Last Updated: March 27, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)