RecruitingNot ApplicableNCT06856538

Rhomboid Intercostal Sub Serratus Plane Block Versus Serratus Anterior Plane Block in Thoractomy

Analgesic Efficacy of Ultrasound-Guided Rhomboid Intercostal Sub Serratus Plane Block Versus Serratus Anterior Plane Block With General Anesthesia in Thoracotomy

Sponsor

Yasser S Mostafa, MD

Enrollment

40 participants

Start Date

Feb 1, 2025

Study Type

INTERVENTIONAL

Conditions

Pain Thoracic

Summary

The objective of the current study is to compare the efficacy of the analgesic effect of ultrasound-guided unilateral Rhomboid intercostal and sub serratus plane block (RISS) versus Serratus anterior plane block (SAPB) in Thoracotomy incision.

Eligibility

Min Age: 18 YearsMax Age: 70 Years

Inclusion Criteria5

Patients aged 18-70 years.
Patients scheduled for unilateral Thoracotomy.
American Society of Anesthesiologists (ASA) physical status I-III.
Patients who are candidates for general anesthesia.
No history of severe allergies to local anesthetics or other medications used during the procedure.

Exclusion Criteria8

ASA PS class ≥ IV patients.
obese (BMI ≥ 35) patients.
Patients with uncontrolled cardiovascular.
patients with neurological deficits, cardiopulmonary, hepatorenal , or metabolic diseases; anticoagulants; any drug allergies.
Patients with emergency surgeries or re-do surgeries.
Systemic infections or infections at the site of injection.
Psychiatric illnesses (schizophrenia, bipolar, uncontrolled anxiety or depression).
Narcotic dependency.

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Interventions

DRUGBupivacain

After the location will be confirmed through hydrodissection of 1 ml on the plane between the rhomboid major and the underlying intercostal muscles after confirming a negative aspiration via a a 22-gauge short bevel sonovisible needle (Spinocan, B. Braun Melsungen AG, Germany) using an in-plane technique then 10 ml of bupivacaine (concentration 0.25%) will be injected. and its spread will be manifested by the hydrodissection and widening of the plane visualized by ultrasound.

DEVICEUltrasound

A linear US transducer (Phillips-Saronno Italy) was placed vertically 3 cm lateral to the midline to visualize back muscles: the trapezius above, the rhomboid major in the middle, and the erector-spinae muscle on the bottom, as well as the TPs with shimmering pleura in between.