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Comparison of the Analgesic Effects of Catheter-Based Versus Single-Shot Serratus Posterior Superior Intercostal Plane Block in Arthroscopic Shoulder Surgery
Sponsor: Goztepe Prof Dr Suleyman Yalcın City Hospital
Summary
Patients undergoing arthroscopic shoulder surgery often experience moderate to severe postoperative pain. Various medical treatments are employed to provide analgesia for these patients. The advancement of regional anesthesia techniques has made possible to both reduce the use of narcotic analgesics and provide long-term pain management benefits. The Serratus Posterior Superior Intercostal Plane Block (SPSIPB) was first described in 2023 by Serkan Tulgar et al. Cadaveric studies and dermatomal analyses in patients have demonstrated its ability to provide analgesia in the back, neck, shoulder, axilla, and lateral thoracic regions. Even though patients undergoing shoulder surgery benefit from the block; once the duration of a single-shot block wears off, they may experience severe pain again. The aim of this study is to investigate the analgesic effects of a single-shot SPSIPB compared to catheter-based SPSIPB with intermittent postoperative bolus administration provided by placing a catheter in this region. The hypothesis of this study: In arthroscopic shoulder surgery, the intermittent bolus administration of the serratus posterior superior intercostal plane block using a catheter will result in lower pain scores, reduced opioid consumption, and improved patient satisfaction compared to single-shot application.
Official title: Comparison of the Analgesic Effects of Catheter-Based and Single-Shot Serratus Posterior Superior Intercostal Plane Block Versus No Block in Arthroscopic Shoulder Surgery
Key Details
Gender
All
Age Range
18 Years - 80 Years
Study Type
INTERVENTIONAL
Enrollment
90
Start Date
2025-03-01
Completion Date
2025-10-10
Last Updated
2026-08-20
Healthy Volunteers
No
Conditions
Interventions
Serratus posterior superior intercostal plane block (single-shot)
30 mL of 0.25% bupivacaine will be injected as single-shot block 20 mins prior to surgery
Serratus posterior superior intercostal plane block (catheter-based intermittent bolus)
Patients in this group will receive an ultrasound-guided serratus posterior superior intercostal plane block with 30 mL of 0.25% bupivacaine before surgery. Following the initial block, a catheter will be placed in the serratus posterior superior intercostal plane. Postoperatively, 0.25% bupivacaine at a dose of 1 mg/kg will be administered through the catheter as an intermittent bolus every 8 hours.
Locations (1)
Goztepe Suleyman Yalcin City Hospital
Istanbul, Turkey (Türkiye)