Pain control and recovery after thoracic surgery with the SPSIP block

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 is a prospective observational study at a single center evaluating ultrasound-guided Serratus Posterior Superior Intercostal Plane (SPSIP) block as part of standard multimodal analgesia for elective thoracic surgery. Participants are adults undergoing minor VATS, major VATS, or thoracotomy and will be grouped by procedure type to see if the block improves postoperative pain and recovery. The primary outcome is QoR-15 score at 24 hours after surgery, with secondary outcomes including pain scores, opioid use, rescue analgesia, and postoperative nausea and vomiting. Patients are followed under routine clinical practice, with data collected to understand analgesic effectiveness across different levels of surgical invasiveness.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Age 18 years or older
* American Society of Anesthesiologists (ASA) physical status I-III
* Scheduled for elective thoracic surgery
* Undergoing minor video-assisted thoracoscopic surgery (VATS), major VATS, or thoracotomy
* Planned ultrasound-guided Serratus Posterior Superior Intercostal Plane (SPSIP) block as part of routine multimodal analgesia
* Able and willing to provide written informed consent

Exclusion Criteria:

* Patient refusal
* Known allergy to amide local anesthetics
* Coagulopathy
* Therapeutic anticoagulation incompatible with regional anesthesia
* Infection at the planned block injection site
* Pregnancy
* Emergency surgery
* Chronic opioid therapy for more than 3 months
* Chronic pain syndrome
* Cognitive impairment that prevents reliable study assessments
* Inability to complete the Quality of Recovery-15 (QoR-15) questionnaire

Where it's running

• Izmir Katip Celebi University Atatürk Training and Research Hospital, Karabaglar, Izmir
  Izmir, İzmir, Turkey (Türkiye) Recruiting

Study contacts

• Principal investigator: Murat Aksun, M.D. — Izmir Katip Celebi University Atatürk Training and Research Hospital
• Study coordinator: Murat Aksun, M.D.
• Email: murataksun@yahoo.com
• Phone: +90 552 363 16 14

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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.