RecruitingNot ApplicableNCT06838039

Assessing the Impact of Additional Serratus Anterior Block Within 24-Hour on Postoperative Pain After Rhomboid Intercostal Block in VATS Patients

Sponsor

Al-Quds University

Enrollment

50 participants

Start Date

Apr 1, 2025

Study Type

INTERVENTIONAL

Conditions

Post Operative Pain VATS

Summary

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.

Eligibility

Min Age: 18 YearsMax Age: 70 Years

Inclusion Criteria4

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.

Exclusion Criteria8

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.

Print for Your Doctor

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

PROCEDURERhomboid Intercostal Block (RIB)

Rhomboid Intercostal Block (RIB) A regional anesthesia technique administered under ultrasound guidance for postoperative pain relief. This will be used as the sole intervention in Arm 1.

PROCEDURERhomboid Intercostal Block (RIB) + Serratus Anterior Plane Block (SAPB)

A combination of two regional anesthesia techniques, Rhomboid Intercostal Block (RIB) and Serratus Anterior Plane Block (SAPB),(THE SAPB will received within 24 hours after RIB) administered under ultrasound guidance. SAPB targets the lateral cutaneous branches of the thoracic nerves, complementing the pain relief provided by RIB. This combination is used in Arm 2 to enhance postoperative analgesia.