ESP vs SPSIP Block in VATS Analgesia

Recruiting now · Not applicable

Conditions studied: Video-assisted Thoracoscopic Surgery (VATS), Serratus Posterior Superior Intercostal Plane Block

In brief

Video-assisted thoracoscopic surgery (VATS) is a minimally invasive procedure performed through small thoracic incisions, but postoperative pain remains significant due to tissue and rib trauma. Poorly controlled pain may lead to chronic postoperative pain; therefore, optimal analgesia is essential. According to PROSPECT guidelines, erector spinae plane block (ESPB) or paravertebral block (PVB) are recommended for VATS. The recently defined serratus posterior superior intercostal plane block (SPSIPB) provides analgesia between C3-T10 levels, but its efficacy compared with ESPB has not been studied. This study aims to compare postoperative analgesic efficacy and patient satisfaction between ESPB and SPSIPB in VATS patients.

Key facts

Study ID

NCT07232940

Run by

Bursa City Hospital

People needed

90

Starts

2025-11-15

Expected to finish

2026-05-15

Last updated by the study team

2025-12-16

Who can join

Age: 18 and older, up to 65. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Patients aged 18-65 years with ASA physical status I-III who will undergo elective video-assisted thoracoscopic surgery (VATS) will be included.

You may not qualify if…

• Patients who do not consent to participate in the study
• Patients with coagulopathy
• Patients with a history of local anesthetic allergy or toxicity
• Patients with hepatic or renal failure
• Patients with uncontrolled diabetes
• Patients with uncontrolled hypertension
• Mentally disabled patients
• Patients receiving chronic pain treatment (opioid users)
• Patients using antidepressant medication
• Patients with neuropathic pain
• Mentally disabled patients
• Presence of infection at the injection site
• Pregnant or breastfeeding women, or those with suspected pregnancy

Where it is running

• Bursa City Hospital — Bursa, Nilüfer, Turkey (Türkiye) (enrolling)

Full record on ClinicalTrials.gov

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