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Serratus Posterior Superior Intercostal Plane Block Versus Erector Spinae Plane Block After Surgical Stabilization of Rib Fractures
Sponsor: Antalya City Hospital
Summary
This randomized clinical trial aims to evaluate and compare the analgesic efficacy of the Serratus Posterior Superior Intercostal Plane (SPSIP) block and the Erector Spinae Plane (ESP) block in patients undergoing surgical stabilization of rib fractures. The primary outcome is the Visual Analog Scale (VAS) score within the first 24 hours after surgery. Secondary outcomes include total opioid consumption, requirement for rescue analgesia, block performance time, block-related and systemic side effects (hematoma, pneumothorax, local anesthetic systemic toxicity, vascular puncture, and infection), patient satisfaction assessed using a Likert scale, and quality of recovery assessed using the QoR-15 questionnaire.
Official title: Ultrasound-guided Serratus Posterior Superior Intercostal Plane Block Versus Erector Spinae Plane Block for Postoperative Analgesia After Surgical Stabilization of Rib Fractures: a Prospective Randomized Controlled Trial
Key Details
Gender
All
Age Range
18 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
50
Start Date
2026-11-15
Completion Date
2028-06-15
Last Updated
2026-04-27
Healthy Volunteers
No
Interventions
Erector Spinae Plane Block (ESP)
Patients in this group will receive an ultrasound-guided Erector Spinae Plane Block (ESP) with 30 mL of 0.25% bupivacaine hydrochloride injected into the fascial plane between the erector spinae muscle and the fifth vertebral transverse processes, 30 minutes before surgery.
Serratus Posterior Superior Intercostal Plane (SPSIP)
Patients in this group will receive an ultrasound-guided Serratus Posterior Superior Intercostal Plane (SPSIP) block with 30 mL of 0.25% bupivacaine hydrochloride injected into the fascial plane between the serratus posterior superior muscle and the third rib, 30 minutes before surgery.
Locations (1)
Antalya City Hospitial, Ministry of Health, Turkey
Antalya, Turkey (Türkiye)