STIL block versus RIB with sub-serratus plane block for pain relief after pediatric chest surgery
Official title: Ultrasound- Guided Subtransverse Process Interligamentary Plane Block Versus Rhomboid Intercostal Block Combined With Sub-Serratus Plane Block for Analgesia in Pediatric Thoracotomy: A Randomized Controlled Study
Run by Tanta University · NCT07666334 · Data updated 2026-11-12
This study tests whether the STIL plane block provides comparable or better pain relief than the combination of RIB and sub-serratus plane block in children after thoracotomy.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 6 Years to 12 Years |
| Sex | All |
| Enrollment | 75 (estimated) |
| Sponsor | Tanta University Academic / other |
| Locations | 1 site (Tanta, El-Gharbia) |
| Status | Recruiting |
| Started | September 1, 2025 |
| Main results expected | September 1, 2027 |
| Study ends | September 1, 2027 |
| Registry record updated | June 24, 2026 |
| Trial ID | NCT07666334 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Children aged 6 to 12 years scheduled for thoracic surgery with thoracotomy incision under general anesthesia, ASA I–II.
✕Probably not a fit
Patients lacking adequate analgesia response to regional block or who have contraindications to regional anesthesia may not experience benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study compares two ultrasound-guided regional anesthesia techniques for postoperative analgesia in pediatric thoracotomy patients. Eligible children aged 6 to 12 years, ASA I–II, will be randomized to receive either a subtransverse process interligamentary (STIL) plane block or a rhomboid intercostal block (RIB) with a sub-serratus plane block, in addition to standard IV analgesia. The primary aim is to determine the effectiveness of pain control in the immediate postoperative period, with safety monitoring given the thoracic approach. STIL targets thoracic nerves without entering the paravertebral space, potentially reducing complications. Prior evidence suggests RIB and RISS can provide good analgesia; this trial evaluates whether STIL offers similar or superior relief in a pediatric surgical population.
Why it matters
Potential benefit: If successful, STIL block could provide effective postoperative pain control with a favorable safety profile in children undergoing thoracotomy.
How similar studies have gone: Previous reports show good analgesia with RIB and sub-serratus plane blocks; STIL is a newer approach under evaluation for efficacy and safety.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Pediatric patients between 6 to 12 years. * Both sexes. * American Society of Anesthesiologists (ASA) Physical Status I - II. * Scheduled for thoracic surgery with thoracotomy incision under general anesthesia. Exclusion Criteria: * Parents who refused regional anesthesia. * Patients were presented with advanced kidney, cardiac or liver diseases. * Coagulation and bleeding disorders. * Patients presented with skin or soft tissue infection at the proposed site of needle Insertion. * Patients with cognitive impairment.
Where it's running
-
Tanta University
Tanta, El-Gharbia, Egypt Recruiting
Study contacts
- Study coordinator: Walaa A Elbialy, MSc
- Email: walaaelbialy156@gmail.com
- Phone: 00201095519412
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.