Serratus plane blocks for pain after minimally invasive chest repair in teens and young adults

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 prospective observational cohort compares postoperative analgesia outcomes in adolescents and young adults undergoing minimally invasive repair of pectus excavatum. Participants are grouped by the regional analgesia technique used as part of routine care: serratus posterior superior intercostal plane block or serratus anterior plane block. The primary outcome is total opioid consumption within 24 hours after surgery; secondary outcomes include pain scores, need for rescue analgesia, opioid-related adverse effects, patient satisfaction, mobilization time, and length of hospital stay. The study highlights multimodal analgesia approaches to reduce opioid exposure after thoracic surgery. Regional anesthesia techniques are integrated with standard perioperative care to inform best practices for this procedure.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients aged 15 to 25 years
* Diagnosis of pectus excavatum
* Scheduled to undergo minimally invasive repair of pectus excavatum under general anesthesia
* Receipt of either bilateral serratus posterior superior intercostal plane block or bilateral serratus anterior plane block as part of routine perioperative analgesic care
* Written informed consent obtained from the patient or, for patients younger than 18 years, from a legal guardian

Exclusion Criteria:

* Refusal to participate in the study
* Contraindication to regional anesthesia
* Known allergy to local anesthetics or study analgesic medications
* Chronic opioid use
* Pre-existing chronic pain syndrome
* Coagulopathy or use of anticoagulant therapy that contraindicates regional block application
* Local infection at the block injection site
* Neurological or psychiatric condition that may interfere with pain assessment
* Incomplete perioperative or postoperative data
* Conversion to another surgical technique or major intraoperative complication requiring a change in the routine analgesic protocol

Where it's running

• Marmara University
  Istanbul, Istanbul, Turkey (Türkiye) Recruiting

Study contacts

• Principal investigator: Seniyye Ülgen Zengin, Associate Professor, MD — Marmara University
• Study coordinator: Cem Özdemir, MD
• Email: suskungeveze.cem@gmail.com
• Phone: +905385027687

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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.