Analgesic Efficiency of SIPSPB vs ICNB in VATS Surgery

NCT07577908 | Recruiting

• 1 other identifier: 250125
• Study Type: observational
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate the effectiveness of Serratus Posterior Superior Intercostal Plane (SPSIP) block compared to Intercostal Nerve (ICN) block in terms of postoperative pain control, reduction of opioid analgesic consumption, minimization of postoperative respiratory complications, and increase patient satisfaction (using a 5-point Likert scale) in patients undergoing video-assisted thoracoscopic surgery (VATS).

Conditions

Intercostal Nerve Block; Serratus Posterior Superior Intercostal Plane Block; Post-operative Pain Management; VATS

Keywords

Serratus posterior superior intercostal plane block; intercostal nerve block; VATS

Outcome Measures

Primary Outcomes (1)

• Postoperative pain intensity

  In both study groups, postoperative pain intensity at rest and with coughing was measured using the Numerical Pain Rating Scale (NPRS), a numerical scale ranging from 0 to 10 (0 meaning no pain, 10 meaning the most severe pain imaginable).

  24 hours after the end of surgery

Secondary Outcomes (4)

• Total opioid drug consumption

  24 hours after the end of surgery

• Consumption of rescue analgesics

  24 hours after the end of surgery

• Postoperative Complications

  24 hours after the end of surgery

• Patient satisfaction score

  At the 24th hour post-operation

Study Arms (2)

Group SPSIP Block

In patients meeting the inclusion criteria for the study, an ultrasound-guided interfacial plane block is applied between the posterior superior serratus muscle and the underlying ribs in patients undergoing SPSIP block after VATS.

Group ICN Block

Patients meeting the inclusion criteria for the study who will undergo intercostal nerve block after VATS will have a total of 10 ml of 0.5% bupivacaine applied to two segments (upper and lower segments of the incision line) under direct vision by the surgeon while the patient is in the lateral decubitus position at the end of the operation and immediately before skin closure.

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients who will undergo elective VATS surgery in the thoracic surgery operating room of Kocaeli City Hospital

You may qualify if:

• Aged 18-80 years,
• American Society of Anesthesiologists (ASA) physical status I-III
• Patients who have provided informed consent to participate in the study

You may not qualify if:

• Patients who refuse to participate in the study by not signing the informed consent
• Patients classified as ASA \> 3, according to the system established by the American Society of Anesthesiologists
• Patients unable to understand the use of the NPR Scale or the PCA device that will be used for postoperative analgesia
• Coagulation disorders or anticoagulant therapy contraindicating regional anesthesia
• Patients with allergies to analgesic and/or anesthetic drugs
• Infection at the block injection site
• Patients whose surgical procedure is intraoperatively converted to an open pulmonary resection

Sponsors & Collaborators

• Kocaeli City Hospital: lead

Study Sites (1)

Kocaeli City Hospital

İzmit, Turkey (Türkiye)

RECRUITING

Related Publications (2)

• 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

• 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

Study Officials

• Ayşe Z Turan Cıvraz, Assoc. Prof.

  Kocaeli City Hospital

  STUDY DIRECTOR

Central Study Contacts

Abdullah Bozkurt

CONTACT

+905369985015; abdullahbozkurtdr@gmail.com

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD

Study Record Dates

• First Submitted: May 5, 2026
• First Posted: May 11, 2026
• Study Start: May 18, 2026
• Primary Completion (Estimated): August 1, 2026
• Study Completion (Estimated): August 1, 2026
• Last Updated: May 20, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)