Adding a serratus anterior plane block to a rhomboid intercostal block for pain control after VATS

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized controlled trial will enroll 50 adults (ages 18–70, ASA I–III) undergoing video-assisted thoracoscopic surgery and randomize them to receive either a rhomboid intercostal block (RIB) alone or RIB plus a serratus anterior plane block (SAPB). The blocks are ultrasound-guided and performed perioperatively at a single center (Al Ahli Hospital, Hebron). Pain intensity using the Visual Analog Scale, opioid consumption, and patient satisfaction will be recorded over the first 48 hours after surgery. The trial aims to determine whether the combined RIB+SAPB approach provides superior pain control and lower opioid use compared with RIB alone.

Why it matters

Who can join: the full rules

Inclusion Criteria:

1. Adults aged 18-70 years.
2. Patients undergoing Video-Assisted Thoracoscopic Surgery (VATS).
3. Classified as ASA physical status I-III (low to moderate surgical risk).
4. Ability to provide informed consent and follow study protocols.

Exclusion Criteria:

1. Known allergy or hypersensitivity to local anesthetics.
2. Presence of bleeding disorders or anticoagulant use.
3. History of chronic opioid use or opioid dependence.
4. Anatomical abnormalities or conditions preventing the application of regional anesthesia (e.g., chest wall deformities).
5. Presence of neurological disorders affecting pain perception.
6. Cognitive impairments, language barriers, or inability to communicate effectively.
7. Pregnancy or breastfeeding.
8. Refusal or inability to provide informed consent.

Where it's running

• Al Ahli hospital
  Hebron, Palestinian Territories Recruiting

Study contacts

• Study coordinator: Mohammed Adel Adwan, MD
• Email: maadwan123m@gmail.com
• Phone: 00970594393480

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.