Assessing the Impact of Additional Serratus Anterior Block Within 24-Hour on Postoperative Pain After Rhomboid Intercostal Block in VATS Patients
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Pain Severity
研究概览
简要总结
Title: Assessing the Impact of Additional Serratus Anterior Block on Postoperative Pain After Rhomboid Intercostal Block in VATS Patients
Purpose: This randomized controlled trial aims to evaluate whether the addition of a Serratus Anterior Plane Block (SAPB) to the standard Rhomboid Intercostal Block (RIB) improves postoperative pain management in patients undergoing Video-Assisted Thoracoscopic Surgery (VATS).
Study Design:
- Type: Randomized Controlled Trial (RCT)
- Participants: 50 patients aged 18 -70 requiring VATS, randomized into two groups: one receiving RIB alone, and the other receiving RIB + SAPB.
- Duration: Pain and opioid consumption will be measured within 48 hours post-surgery.
- Outcome Measures: Pain levels using the Visual Analog Scale (VAS), opioid usage, and patient satisfaction.
Significance:
The study addresses the gap in research regarding the combined use of SAPB and RIB in pain control for VATS. It hypothesizes that the combination will lead to better pain relief and reduced opioid dependence compared to RIB alone.
详细描述
Title: Assessing the Impact of Additional Serratus Anterior Plane Block on Postoperative Pain After Rhomboid Intercostal Block in VATS Patients
Background:
Video-Assisted Thoracoscopic Surgery (VATS) is a minimally invasive thoracic procedure that has revolutionized the treatment of lung diseases, pleural conditions, and mediastinal disorders. While it offers numerous advantages, including smaller incisions, shorter hospital stays, and faster recovery, postoperative pain remains a significant challenge. Uncontrolled pain can impair pulmonary function, delay ambulation, and increase the need for opioids, which in turn elevates the risk of opioid-related side effects such as respiratory depression, nausea, and addiction potential.
Regional anesthesia techniques, particularly Rhomboid Intercostal Block (RIB), have gained popularity as effective methods for postoperative pain control following VATS. RIB is an ultrasound-guided technique that targets the intercostal nerves by depositing local anesthetic into the fascial plane between the rhomboid and intercostal muscles. This block has demonstrated efficacy in reducing pain intensity and opioid consumption in VATS patients. However, some patients may still experience inadequate pain relief, particularly in areas not covered by RIB alone.
The Serratus Anterior Plane Block (SAPB) is another regional anesthesia technique that anesthetizes the lateral cutaneous branches of the thoracic intercostal nerves, which contribute to the sensory innervation of the chest wall. Given that SAPB and RIB target different pain pathways, combining these two blocks may provide broader and more effective analgesia for VATS patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged 18-70 years.
- •Patients undergoing Video-Assisted Thoracoscopic Surgery (VATS).
- •Classified as ASA physical status I-III (low to moderate surgical risk).
- •Ability to provide informed consent and follow study protocols.
排除标准
- •Known allergy or hypersensitivity to local anesthetics.
- •Presence of bleeding disorders or anticoagulant use.
- •History of chronic opioid use or opioid dependence.
- •Anatomical abnormalities or conditions preventing the application of regional anesthesia (e.g., chest wall deformities).
- •Presence of neurological disorders affecting pain perception.
- •Cognitive impairments, language barriers, or inability to communicate effectively.
- •Pregnancy or breastfeeding.
- •Refusal or inability to provide informed consent.
结局指标
主要结局
Pain Severity
时间窗: 48 hours post-surgery.
Postoperative pain will be assessed using the Visual Analog Scale for pain which higher score mean more pain at various time intervals (e.g., 1,12, 24, 36 and 48 hours post-surgery).
次要结局
- Opioid Consumption(48 hours post-surgery.)