Comparison of Erector Spinae Block and Combined Deep and Superficial Serratus Anterior Plane Block

Not Applicable

Completed

• Conditions: Analgesia; Pain, Postoperative; Anesthesia; Thoracic
• Interventions: Procedure: erector spinae plane block; Procedure: combined deep and superficial serratus anterior plane block

• Registration Number: NCT06073197
• Lead Sponsor: Uludag University

Brief Summary

Objective: The authors hypothesized that combined deep and superficial serratus anterior plane block (SAPB) is as effective as erector spinae plane block (ESPB) for intraoperative and postoperative analgesia for video-assisted thoracoscopic surgery.

Design: A prospective randomized controlled study. Participants: Adult patients undergoing elective video-assisted thoracoscopic surgery.

Interventions: Preoperative SAPB or ESPB implementation.

Detailed Description

Plane blocks implemented on preoperative course on 35 patients for each group. Postoperative Visual Analogue Scale (VAS) scores (0-10), intraoperative and postoperative analgesic consumption was measured using Mann-Whitney test. In the postoperative phase, opioid side effects, complications related to plane blocks, mobilization time and length of hospital stay was recorded and measured.

Study Timeline

• Study Start: 2020-07-02
• Primary Completion: 2021-02-25
• Study Completion: 2021-02-25
• Study First Submitted: 2023-09-19
• Status Verified: 2023-10
• Study First Submitted QC: 2023-10-03
• Last Update Submitted: 2023-10-03
• Study First Posted: 2023-10-10
• Last Update Posted: 2023-10-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 70

Inclusion Criteria

• American Society of Anaesthesiologists (ASA) classification I-II scheduled for elective VATS

Exclusion Criteria

• Patients who did not give consent
• Local anaesthetic allergy
• Known or suspected coagulopathy
• İnfection at the injection site
• History of thoracic surgery
• Severe cardiovascular disease
• Hepatic or renal insufficiency (glomerular filtration rate <15 ml/min/1.73 m2)
• Severe neurological or psychiatric disorders
• Chronic opioid use

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
erector spinae plane block	erector spinae plane block	Plane blocks implemented on preoperative course on 35 patients for group.
combined deep and superficial serratus anterior plane block	combined deep and superficial serratus anterior plane block	Plane blocks implemented on preoperative course on 35 patients for group.

Primary Outcome Measures

Name	Time	Method
postoperative analgesic effects	first 48 hours	The primary outcome is compare the postoperative analgesic effects of SAPB and ESPB applied under USG guidance before surgery in patients scheduled for VATS using VAS (Visual Analogue Scale from 0 to 10).
intraoperative analgesic effects	intraoperative phase	The primary outcome is compare the intraoperative analgesic effects of SAPB and ESPB applied under USG guidance before surgery in patients scheduled for VATS by measuring perioperative fentanyl consumption in both groups.

Secondary Outcome Measures

Name	Time	Method
side effects	first 48 hours	The secondary aim was to compare the opioid side effects. Patients were informed about opioid side effects and asked whether side effects were present.
complications	first 48 hours	The secondary aim was to compare the complications related to the applied block. Patients were examined and evaluated for any complications related to the block.
stay of hospital	first 4 days	length of stay in the recovery unit and hospital
mobilization	first 48 hours	The secondary aim was to compare the mobilization time

Trial Locations

Locations (1)

Bursa Uludag University; 🇹🇷 Bursa, Turkey