SPSIP vs ESP Block for Analgesia After Rib Fracture Surgery

Sponsor
Antalya City Hospital
Study ID
NCT07553208
Status
Not Yet Recruiting

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Conditions

  • Postoperative Pain
  • Rib Fracture
  • Thoracic Trauma

Eligibility Criteria

Sex
ALL
Age
18 Years - 65 Years
Healthy Volunteers
Not accepted

Interventions

  • Erector Spinae Plane Block (ESP) — PROCEDURE
    Patients in this group will receive an ultrasound-guided Erector Spinae Plane Block (ESP) with 30 mL of 0.25% bupivacaine hydrochloride injected into the fascial plane between the erector spinae muscle and the fifth vertebral transverse processes, 30 minutes before surgery.
  • Serratus Posterior Superior Intercostal Plane (SPSIP) — PROCEDURE
    Patients in this group will receive an ultrasound-guided Serratus Posterior Superior Intercostal Plane (SPSIP) block with 30 mL of 0.25% bupivacaine hydrochloride injected into the fascial plane between the serratus posterior superior muscle and the third rib, 30 minutes before surgery.

Study Details

This randomized clinical trial aims to evaluate and compare the analgesic efficacy of the Serratus Posterior Superior Intercostal Plane (SPSIP) block and the Erector Spinae Plane (ESP) block in patients undergoing surgical stabilization of rib fractures. The primary outcome is the Visual Analog Scale (VAS) score within the first 24 hours after surgery. Secondary outcomes include total opioid consumption, requirement for rescue analgesia, block performance time, block-related and systemic side effects (hematoma, pneumothorax, local anesthetic systemic toxicity, vascular puncture, and infection), patient satisfaction assessed using a Likert scale, and quality of recovery assessed using the QoR-15 questionnaire.

Key Dates

First listed
Apr 27, 2026
Start date
Nov 15, 2026
Status verified
Apr 2026
Primary completion
Jun 15, 2028
Completion
Jun 15, 2028

Study Design

Enrollment
60 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Active Comparator: Serratus Posterior Superior Intercostal Plane Block (SPSIP)
    Serratus Posterior Superior Intercostal Plane
  • Active Comparator: Erector Spinae Plane Block (ESP)
    Erector Spinae Plane Block

Primary Outcome Measure

Postoperative pain intensity assessed using the Visual Analog Scale (VAS) [ Time Frame: 0, 1, 4, 8, 12, and 24 hours after surgery ]

Central Contacts

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