Serratus Anterior Plane Block and Transthoracic Plane Block in Pectus Surgery

Pectus Excavatum Clinical Trial

Official title:

Effect of Serratus Anterior Plane Block and Transthoracic Plane Block Combination on Postoperative Analgesia From Pectus Surgery

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06436755
• Other study ID #: 2024-271
• Status: Not yet recruiting
• Start date: June 1, 2024
• Est. completion date: November 21, 2025

Study information

• Verified date: May 2024
• Source: Basaksehir Çam & Sakura City Hospital
• Contact: CANSU KILINÇ BERKTAS
• Phone: +9005542448087
• Email: cansukilinc87[@]gmail.com
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The most important problem in the postoperative period in patients scheduled for pectus deformity correction surgery is pain. Due to the catastrophic neurological complications of thoracic epidural analgesia, the tendency towards plane blocks has been increasing in recent years. Serratus Plane Block (SAP Block), performed under ultrasound guidance, is used to treat pain in thoracic surgery. However, whether it has an effect on sternum pain is still controversial and there are not enough studies. Transversus thoracic plane block (TTP Block) provides effective analgesia in sternotomies. For this reason, we aimed to show that the TTP block added to the SAP block will provide more effective analgesia in order to provide adequate analgesia for the pressure and pain sensation of the bars placed on the sternum in pectus surgery.

Description:

The most important problem in the postoperative period in patients scheduled for pectus deformity correction surgery is pain. It is very important for patients to start active breathing exercises and mobilize early. Complications develop less frequently in patients who actively breathe and mobilize early. The tolerability of the surgery by the patient and the absence of pain in the postoperative period ensure early discharge . Due to the catastrophic neurological complications of thoracic epidural analgesia, the tendency towards plane blocks has been increasing in recent years. Serratus Plane Block (SAP Block), performed under ultrasound guidance, is used to treat pain in thoracic surgery. However, whether it has an effect on sternum pain is still controversial and there are not enough studies. Transversus thoracic plane block (TTP Block) provides effective analgesia in sternotomies. For this reason, we aimed to show that the TTP block added to the SAP block will provide more effective analgesia in order to provide adequate analgesia for the pressure and pain sensation of the bars placed on the sternum in pectus surgery.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 40
• Est. completion date: November 21, 2025
• Est. primary completion date: November 21, 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 15 Years and older

Eligibility

Inclusion Criteria:

Patients who will undergo surgery due to pectus deformity All patients over the age of 15 who will be operated on due to pectus deformity

Exclusion Criteria:

• Known allergy to local anesthetics,
• Uncooperative patient,
• The patient who refuses to participate in the study,
• Patients under 18 years of age.

Related Conditions & MeSH terms

• Funnel Chest
• Pectus Excavatum

Intervention

Procedure:
• no intervention,this is a observational studies
no intervention,this is a observational studies

Locations

Country	Name	City	State
Turkey	Basaksehir Çam Ve Sakura Sehir Hastanesi	Istanbul	I?stanbul

Sponsors (1)

Lead Sponsor	Collaborator
Basaksehir Çam & Sakura City Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Effect of Serratus Anterior Plane Block and Transthoracic Plane Block Combination on Postoperative Analgesia in Pectus Surgery	Serratus Plane Block (SAP Block), performed under ultrasound guidance, is used to treat pain in thoracic surgery. However, whether it has an effect on sternum pain is still controversial and there are not enough studies. Transversus thoracic plane block (TTP Block) provides effective analgesia in sternotomies. For this reason, TTP block will be added to the SAP block in order to provide adequate analgesia for the pressure and pain sensation of the bars placed on the sternum in pectus surgery.; The patient's pain score will be evaluated with the Numerical Rating Scale (NRS). Hourly pain scores in the postoperative period are 0./1./4./6./12./18./24./48.; Additional complications	postoperative 48 hours
Primary	Postoperative Analgesia in Pectus Surgery	Total amount of analgesia for 48 hours,	postoperative 48 hours
Primary	Postoperative pain in Pectus Surgery	Presence of need for additional analgesics,	postoperative 48 hours