To compare the rhomboid intercostal subserratus plane block with the erector spinae plane block regarding their analgesic efficacy and effects on respiratory function for patients undergoing video-assisted thoracoscopic surgery.
Video-assisted thoracoscopic surgery (VATS) can be very painful and may lead to complications such as prolonged stays in intensive care, thromboembolic complications due to lack of early mobilization, chronic acute pain, and delirium if adequate analgesia is not provided. Therefore, using thoracic epidural, paravertebral, or regional blocks as part of multimodal analgesia is recommended to provide effective pain relief. This study aims to compare the effects of the erector spinae plane block (ESP) and rhomboid intercostal subserratus plane block (RISS) on postoperative analgesia and the improvement of respiratory parameters in patients undergoing VATS. The primary objective is to evaluate total analgesic consumption in the first 24 hours postoperatively. Secondary objectives include assessing active and dynamic pain scores, triflow performance, complications, and the length of hospital stays.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
90
ESP blocks are performed for patients undergoing VATS.
RISS blocks are performed for patients undergoing VATS.
University of Health Sciences, Bursa City Hospital
Bursa, Nilufer, Turkey (Türkiye)
RECRUITINGOpioid consumption
Total opioid consumption within the first 24 hours in the postoperative period.
Time frame: Postoperative first 24 hours.
Dynamic pain score
Postoperative pain scores during coughing and deep breathing are measured on a 10 cm scale, where "0" indicates no pain and "10" indicates the worst pain ever.
Time frame: Postoperative first 24 hours.
Resting pain score
Postoperative pain scores during rest are measured on a 10 cm scale, where "0" indicates no pain and "10" indicates the worst pain ever.
Time frame: Postoperative first 24 hours.
Pulmonary functions
Pulmonary functions are assessed using Triflow performance. Postoperative Triflow numbers (whether 1, 2, or 3 balls can be raised) for the patients are recorded.
Time frame: Postoperative first 24 hours.
Complications
Complications regarding regional blocks and surgery (such as hematoma, pulmonary complications) are recorded.
Time frame: Through study completion, an average of 1 year
Hospital stay time
The length of hospital stay is recorded.
Time frame: Perioperatively
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