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Serratus Posterior Superior Intercostal Plane Block in Minimally Invasive Cardiac Surgery
Sponsor: Kartal Kosuyolu High Speciality Training and Research Hospital
Summary
This single-centre, prospective, randomised controlled trial investigates whether preoperative ultrasound-guided serratus posterior superior intercostal plane block (SPSIPB) reduces postoperative opioid consumption and pain scores in adults undergoing elective minimally invasive cardiac surgery through a right or left minithoracotomy. Patients are randomly allocated in a 1:1 ratio to receive SPSIPB with 30 mL of 0.25% bupivacaine or no block. Both groups receive the same postoperative analgesic regimen, consisting of intravenous paracetamol 1 g every 8 h and intravenous tramadol patient-controlled analgesia. The primary outcome is cumulative tramadol consumption during the first 24 h after extubation. Secondary outcomes include postoperative pain scores, intraoperative remifentanil consumption and haemodynamic responses.
Official title: Serratus Posterior Superior Intercostal Plane Block for Postoperative Analgesia in Minimally Invasive Cardiac Surgery Via Thoracotomy: A Randomised Controlled Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
34
Start Date
2026-02-20
Completion Date
2026-09-01
Last Updated
2026-10-26
Healthy Volunteers
No
Interventions
Serratus Posterior Superior Intercostal Plane Block
Procedure: Serratus posterior superior intercostal plane block With the patient in the lateral decubitus position (operative side up), an 80-mm, 22-G block needle is advanced in-plane in a caudocranial direction under ultrasound guidance until its tip lies between the serratus posterior superior muscle and the third rib; after hydrodissection with 1-2 mL of saline, 30 mL of 0.25% bupivacaine is injected. The block is performed approximately 30 min before transfer to the operating room. Other name: SPSIPB Arm: SPSIPB group .
Locations (1)
Kosuyolu High Specialization Training and Research Hospital
Istanbul, Turkey (Türkiye)