Comparıson Of The Postoperatıve Analgesıc Effıcacy Of Serratus Anterıor Plane Block And Serratus Posterıor Superıor Intercostal Plane Block Performed Under Ultrasonography Guıdance In Vıdeo-Assısted Thoracoscopıc Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Postoperative pain intensity
研究概览
简要总结
Comparison of the Analgesic Efficacy of Serratus Anterior Plane Block and Serratus Posterior Superior Intercostal Plane Block in Patients Undergoing Video-Assisted Thoracoscopic Surgery Introduction and Objective: The aim of this study is to compare the postoperative analgesic efficacy of the serratus anterior plane block and serratus posterior superior intercostal plane block performed under ultrasonography guidance in patients undergoing video-assisted thoracoscopic surgery.
Patients with ASA grades I-III, aged 18-65, will be included in the study. Standard general anesthesia will be administered to the patients. Postoperative analgesia evaluation will be conducted using VAS and NRS scores at specific time points after surgery Additional analgesic requirements and patient satisfaction will be recorded.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patient aged between 18 and 65 years ASA physical status I-III Scheduled for elective video-assisted thoracoscopic surgery (VATS) Provided written information consent
排除标准
- •History of allergy or toxicity to local anesthetic agents
- •Known or suspected coagulopathy
- •Infection at the site of block injection
- •Advanced organ failure
- •Diagnosed mental retardation
- •Pregnancy
- •Pediatric patients
- •History of thoracotomy
- •Requirement for postoperative intubation
- •Emergency surgery
- •Refusal to participate in the study
研究组 & 干预措施
SERRATUS ANTERİOR PLANE BLOCK
Participants received an ultrasound-guieded serratus anterior plane block (SAPB)
干预措施: Ultrasound guided serratus anterior plane block (Procedure)
SERRATUS POSTERİOR SUPERİOR İNTERCOSTAL PLANE BLOCK
Participants received an ultrasound-guided serratus posterior superior intercostal plane block (SPSIPB)
干预措施: Ultrasound guided serratus posterior superior intercostal plane block (Procedure)
结局指标
主要结局
Postoperative pain intensity
时间窗: At postoperative 30 minute and 1, 4, 8, 12, 24 hours
Postoperative pain intensity was assessed using the Visual Analog Scale (VAS) where 0 indicates no pain and 10 indicates the worst imaginable pain
次要结局
- Total 24-hour tramadol consumption(24 hours after surgery)
- Rescue analgesia requirement(At postoperative 30 minute and 1, 4, 8, 12, 24 hours)
- Adverse events(Within 24 hours after surgery)
- Dynamic (movement-associated) postoperative pain intensity(At postoperative 30 minute and 1, 4, 8, 12, 24 hours)
- Postoperative pain intensity assessed by Numeric Rating Scale (NRS)(30 minutes, 1, 4, 8, 12, 24 hours after surgery)
研究者
Renim Yüksel
Research Assistant
Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital