[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100611266":3},{"organization":4,"armGroups":7,"interventions":10,"overallOfficials":10,"centralContacts":18,"locations":10,"responsibleParty":24,"collaborators":10,"id":28,"slug":29,"hasResults":30,"nctId":31,"briefTitle":32,"officialTitle":33,"acronym":34,"eligibilityCriteria":35,"healthyVolunteers":30,"sex":36,"minAge":37,"maxAge":38,"enrollmentInfo":39,"targetDuration":42,"studyType":43,"phases":10,"briefSummary":44,"conditions":45,"keywords":50,"overallStatus":55,"whyStopped":10,"lastUpdateSubmitDate":56,"lastUpdatePostDateStruct":57,"startDateStruct":60,"completionDateStruct":62,"leadSponsor":64,"locationsCount":10},{"fullName":5,"class":6},"Karadeniz Technical University","OTHER",[8,12,15],{"label":9,"type":10,"description":11,"interventionNames":10},"SPSIPB Group",null,"Patients receiving Serratus Posterior Superior Intercostal Plane Block (SPSIPB) as part of routine postoperative analgesia for VATS.",{"label":13,"type":10,"description":14,"interventionNames":10},"Thoracic Epidural Analgesia (TEA) Group","Patients receiving thoracic epidural analgesia with continuous epidural infusion for postoperative pain control following VATS.",{"label":16,"type":10,"description":17,"interventionNames":10},"Systemic Opioid Analgesia Group","Patients managed with intravenous systemic opioid analgesia (e.g., tramadol PCA) as standard postoperative analgesia after VATS.",[19],{"name":20,"role":21,"phone":22,"phoneExt":10,"email":23},"Ali AKDOGAN, MD","CONTACT","+905322605414","draliakdogan@yahoo.com",{"type":25,"investigatorFullName":26,"investigatorTitle":27,"investigatorAffiliation":5,"oldNameTitle":10,"oldOrganization":10},"PRINCIPAL_INVESTIGATOR","Ali AKDOĞAN","Prof Dr","100611266","analgesic-effectiveness-of-spsipb-versus-thoracic-epidural-and-systemic-opioid-analgesia-after-vats-spsipb-vats-100611266",false,"NCT07238348","Analgesic Effectiveness of SPSIPB Versus Thoracic Epidural and Systemic Opioid Analgesia After VATS (SPSIPB-VATS)","Prospective Evaluation of Analgesic Outcomes of Serratus Posterior Superior Intercostal Plane Block Versus Thoracic Epidural Analgesia and Systemic Opioid Analgesia After Video-Assisted Thoracoscopic Surgery","SPSIPB-VATS","Inclusion Criteria:\n\n* Adults aged 18-75 years\n* Scheduled for elective video-assisted thoracoscopic surgery (VATS)\n* ASA physical status I-III\n* Ability to understand study procedures and provide written informed consent\n* Hemodynamically stable preoperatively\n\nExclusion Criteria:\n\n* Known allergy or contraindication to local anesthetics or study medications\n* Coagulopathy or use of anticoagulants not suitable for regional anesthesia\n* Local infection or skin lesions at the injection site\n* Severe pulmonary disease (e.g., severe COPD, uncontrolled asthma)\n* Chronic opioid use or chronic pain disorders\n* Neurological or psychiatric disorders impairing cooperation\n* Pregnancy or breastfeeding\n* BMI \\> 35 kg\u002Fm²\n* Conversion from VATS to thoracotomy\n* Inability to comply with postoperative assessments","ALL","18 Years","75 Years",{"count":40,"type":41},120,"ESTIMATED","1 Day","OBSERVATIONAL","This prospective observational study aims to compare the postoperative analgesic effectiveness of three commonly used pain management strategies in video-assisted thoracoscopic surgery (VATS): Serratus Posterior Superior Intercostal Plane Block (SPSIPB), Thoracic Epidural Analgesia (TEA), and systemic opioid analgesia. The study evaluates postoperative pain scores, opioid consumption, and the need for rescue analgesics within the first 24 hours after surgery. By analyzing analgesic performance and safety profiles of these techniques, the study seeks to provide evidence to guide optimal postoperative pain management for patients undergoing minimally invasive thoracic procedures.",[46,47,48,49],"Postoperative Pain Management","Video-assisted Thoracoscopic Surgery (VATS)","Thoracic Epidural Analgesia","Serratus Posterior Superior Intercostal Plane Block",[49,48,51,52,53,54],"Systemic Opioid Analgesia","Video-Assisted Thoracoscopic Surgery","Opioid Consumption","Pain Management","NOT_YET_RECRUITING","2025-11-18",{"date":58,"type":59},"2025-11-20","ACTUAL",{"date":61,"type":41},"2025-12-15",{"date":63,"type":41},"2026-08-15",{"name":5,"class":6}]