Erector Spinae Plane Block vs Retrolaminar Block for Analgesia After VATS

NCT07830290 | Completed

• 1 other identifier: GATA-VATS-ESP-RLB-2023-01
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

This study compared the postoperative analgesic efficacy of ultrasound-guided erector spinae plane (ESP) block and retrolaminar block in patients undergoing video-assisted thoracoscopic surgery (VATS). Adult patients were randomly assigned to receive either an ESP block or a retrolaminar block after induction of general anesthesia. Postoperative pain intensity was assessed using the Numeric Rating Scale (NRS) at predefined time points. Postoperative analgesic requirements and intraoperative opioid consumption were also evaluated.

Conditions

Postoperative Pain

Outcome Measures

Primary Outcomes (1)

• Postoperative Pain Intensity Assessed Using the 11-Point Numeric Rating Scale

  Postoperative pain intensity was assessed using the 11-point Numeric Rating Scale, ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater pain intensity and therefore a worse outcome. Pain scores were recorded at 1, 6, 12, and 24 hours after surgery.

  1, 6, 12, and 24 hours after surgery

Secondary Outcomes (4)

• Postoperative Analgesic Requirement

  Within the first 24 hours after surgery

• Intraoperative Remifentanil Consumption

  From induction of anesthesia until the end of surgery

• Postoperative Nausea and Vomiting (PONV)

  Within the first 24 hours after surgery

• Number of Block Attempts

  During block performance procedure

Study Arms (2)

Erector Spinae Plane Block Group

EXPERIMENTAL

Participants assigned to this group received an ultrasound-guided erector spinae plane (ESP) block after induction of general anesthesia. The block was performed as part of the perioperative analgesia protocol for video-assisted thoracoscopic surgery.

Procedure: Erector spinae plane block (ESP)

Retrolaminar Block Group

EXPERIMENTAL

Participants assigned to this group received an ultrasound-guided retrolaminar block after induction of general anesthesia. The block was performed as part of the perioperative analgesia protocol for video-assisted thoracoscopic surgery.

Procedure: Retrolaminar block group

Interventions

Erector spinae plane block (ESP) PROCEDURE

An ultrasound-guided erector spinae plane block was performed after induction of general anesthesia. The block was administered as a regional analgesic technique in patients undergoing video-assisted thoracoscopic surgery.

Erector Spinae Plane Block Group

Retrolaminar block group PROCEDURE

An ultrasound-guided retrolaminar block was performed after induction of general anesthesia. The block was administered as a regional analgesic technique in patients undergoing video-assisted thoracoscopic surgery.

Retrolaminar Block Group

Eligibility Criteria

• Age: 18 Years - 81 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age between 18 and 81 years
• American Society of Anesthesiologists (ASA) physical status I or II
• Scheduled to undergo video-assisted thoracoscopic surgery (VATS)
• Provided written informed consent to participate in the study

You may not qualify if:

• ASA physical status III or higher
• Decompensated organ failure
• Pregnancy
• Known allergy or hypersensitivity to local anesthetics
• Withdrawal of consent or request to discontinue participation in the study

Sponsors & Collaborators

• Hacettepe University: lead
• Gulhane Training and Research Hospital: collaborator

Study Sites (1)

Gülhane Training and Research Hospital

Ankara, Eti̇mesgut, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pain, Postoperative

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The investigator responsible for postoperative pain assessment using the Numeric Rating Scale (NRS) was blinded to group allocation. The clinician responsible for determining the need for rescue analgesia was also unaware of the assigned block technique. The anesthesiologist performing the block was not blinded due to the nature of the intervention
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Anesthesiology and Reanimation Resident

Study Record Dates

• First Submitted: September 14, 2026
• First Posted: September 21, 2026
• Study Start: April 1, 2023
• Primary Completion: May 31, 2023
• Study Completion: June 1, 2023
• Last Updated: September 21, 2026

Record last verified: 2026-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)