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

Bursa City Hospital

Status: Enrolling

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

Treatments: Procedure: ESP block group; Procedure: RISS block group

Study type: Interventional

Funder types: Other

Identifiers

NCT07011069

2024-11/4 24-AKD-209

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 90 estimated patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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90 participants in 2 patient groups

Patients who received ESP block

Active Comparator group

Description:

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

Treatment:

Procedure: ESP block group

Patients who received RISS block

Active Comparator group

Description:

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

Treatment:

Procedure: RISS block group