Ignite Creation Date:
2024-05-06 @ 7:21 PM
Last Modification Date:
2024-10-26 @ 3:04 PM
Study NCT ID:
NCT05972122
Status:
WITHDRAWN
Last Update Posted:
2024-04-02
First Post:
2023-07-25
Brief Title:
Serratus Posterior Superior Interfascial Plane Block for Thoracoscopic Surgery
Sponsor:
Medipol University
Organization:
Medipol University
Study Overview
Official Title:
The Efficacy of Serratus Posterior Superior Interfacial Plane Block on Postoperative Analgesia in Patients Underwent Video-Assisted Thoracoscopic Surgery A Randomized Prospective Controlled Study
Status:
WITHDRAWN
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
No participants enrolled
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Regional techniques can be used for postoperative pain control following VATS Ultrasound US guided serratus posterior superior block SPSPB is a new interfacial plane block defined by Tulgar et al in 2023 It is based on injection on the serratus posterior superior muscle at the level of the 2nd or 3rd rib This block provides analgesia in conditions such as interscapular pain chronic myofascial pain syndromes scapulocostal syndrome and shoulder pain The SPS muscle is located at the C7-T2 level It attaches to the lateral edges of the second and fifth ribs It is innervated by the lower cervical and upper intercostal nerves With the SPS block these nerves are blocked and analgesia is provided
Detailed Description:
Video-assisted thoracic surgery VATS has started to be considered the standard surgical procedure for lung surgery in recent years The advantages of VATS compared to open thoracotomy are rapid recovery shorter hospital stays and low risk of complications Although it is a less painful surgical procedure compared to thoracotomy severe acute postoperative pain can be observed especially in the first hours after VATS Thoracic epidural analgesia TEA which is the gold standard for post-thoracotomy analgesia is used in analgesia after VATS However due to the difference in surgical technique and trauma between open surgery and VATS what should be the gold standard for analgesia after VATS is a matter of debate It is supported that less invasive analgesic techniques should be applied for minimally invasive surgical procedures especially due to the difficulty of applying TEA and its side-effect profile Thoracic paravertebral block TPVB is considered the first-line regional technique for VATS surgery However it is difficult to apply due to its anatomical proximity to important structures such as the pleura and central neuraxial system and it may cause complications such as pneumothorax and vascular injury Analgesia management is very important in these patients as insufficient analgesia in the postoperative period may cause pulmonary complications such as atelectasis pneumonia and increased oxygen consumption
Ultrasound US guided serratus posterior superior block SPSPB is a new interfacial plane block defined by Tulgar et al in 2023 It is based on injection on the serratus posterior superior muscle at the level of the 2nd or 3rd rib This block provides analgesia in conditions such as interscapular pain chronic myofascial pain syndromes scapulocostal syndrome and shoulder pain The SPS muscle is located at the C7-T2 level It attaches to the lateral edges of the second and fifth ribs It is innervated by the lower cervical and upper intercostal nerves With the SPS block these nerves are blocked and analgesia is provided
In the cadaveric study of Tulgar et al it was determined that the spread of serratus posterior superior interfacial plane block 7-10 intercostal levels on the left side only in the superficial fascia of the trapezius muscle Spread dye was observed at intercostal levels absent on the right There was prominent staining on both sides of the deep trapezius muscle Both the surface and skin of the rhomboid major were stained while the rhomboid minor was only stained in the skin SPSP block will provide successful analgesia in procedures involving the thoracic region such as chronic myofascial pain breast surgery thoracic surgery and shoulder surgery There is no randomized study in the literature evaluating the effectiveness of SPSP block for postoperative analgesia management after VATS
In this study we aim to evaluate the effectiveness of US-guided SPSP block for postoperative analgesia management after VATS Our primary aim is to compare postoperative opioid consumption our secondary aim is to evaluate postoperative pain scores NRS opioid-related side effects allergic reaction nausea vomiting and dermatome levels
Ultrasound US guided serratus posterior superior block SPSPB is a new interfacial plane block defined by Tulgar et al in 2023 It is based on injection on the serratus posterior superior muscle at the level of the 2nd or 3rd rib This block provides analgesia in conditions such as interscapular pain chronic myofascial pain syndromes scapulocostal syndrome and shoulder pain The SPS muscle is located at the C7-T2 level It attaches to the lateral edges of the second and fifth ribs It is innervated by the lower cervical and upper intercostal nerves With the SPS block these nerves are blocked and analgesia is provided
In the cadaveric study of Tulgar et al it was determined that the spread of serratus posterior superior interfacial plane block 7-10 intercostal levels on the left side only in the superficial fascia of the trapezius muscle Spread dye was observed at intercostal levels absent on the right There was prominent staining on both sides of the deep trapezius muscle Both the surface and skin of the rhomboid major were stained while the rhomboid minor was only stained in the skin SPSP block will provide successful analgesia in procedures involving the thoracic region such as chronic myofascial pain breast surgery thoracic surgery and shoulder surgery There is no randomized study in the literature evaluating the effectiveness of SPSP block for postoperative analgesia management after VATS
In this study we aim to evaluate the effectiveness of US-guided SPSP block for postoperative analgesia management after VATS Our primary aim is to compare postoperative opioid consumption our secondary aim is to evaluate postoperative pain scores NRS opioid-related side effects allergic reaction nausea vomiting and dermatome levels
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None