Ultrasound-guided SPS block versus surgeon intercostal block to prevent chronic pain after thoracoscopic (VATS) surgery

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

Adults scheduled for elective unilateral Video-Assisted Thoracoscopic Surgery (VATS) at Istanbul Medipol University Hospital will receive either an ultrasound-guided SPS block before surgery or a surgeon-administered intercostal blockade. Primary outcomes include the incidence and severity of chronic post-thoracotomy pain measured at 3, 6, and 12 months, with secondary outcomes of acute pain scores (VAS/NRS) in the first 24 hours, total opioid consumption, and hospital length of stay. The SPS block is performed under ultrasound guidance as a preemptive analgesic, while the comparator is the standard intraoperative intercostal block performed by the surgical team. Safety monitoring includes observation for local anesthetic complications and exclusion of patients with contraindications such as coagulation disorders or local anesthetic allergy.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* ASA physical status I-III.
* Scheduled for elective unilateral Video-Assisted Thoracoscopic Surgery (VATS).

Exclusion Criteria:

* History of allergy to local anesthetics.
* Pre-existing chronic pain syndrome or neuropathic pain.
* Psychiatric disorders affecting pain assessment.
* Coagulation disorders.
* Previous thoracic surgery on the same side.

Where it's running

• Istanbul Medipol University Hospital
  Istanbul, Bagcilar, Turkey (Türkiye) Recruiting

Study contacts

• Study coordinator: Bahadir Ciftci, Assoc Prof, MD
• Email: bciftci@medipol.edu.tr
• Phone: +905343736865

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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.