[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100581917":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":34,"centralContacts":45,"locations":56,"responsibleParty":80,"collaborators":33,"id":83,"slug":84,"hasResults":85,"nctId":86,"briefTitle":87,"officialTitle":88,"acronym":33,"eligibilityCriteria":89,"healthyVolunteers":90,"sex":91,"minAge":92,"maxAge":93,"enrollmentInfo":94,"targetDuration":33,"studyType":97,"phases":98,"briefSummary":100,"conditions":101,"keywords":104,"overallStatus":59,"whyStopped":33,"lastUpdateSubmitDate":108,"lastUpdatePostDateStruct":109,"startDateStruct":112,"completionDateStruct":114,"leadSponsor":116,"locationsCount":117},{"fullName":5,"class":6},"Fayoum University Hospital","OTHER",[8,15],{"label":9,"type":10,"description":11,"interventionNames":12},"Group R","EXPERIMENTAL","A high- frequency linear ultrasound transducer will be placed longitudinally (in the sagittal plane) on the patient's back, just 2 cm medial to the medial scapular border. Then, the probe will be slightly rotated to obtain an oblique parasagittal plane. The following landmarks will be identified: the trapezius muscle, rhomboid major muscle, intercostal muscles, pleura, and lungs (from superficial to deep in order of appearance). The rhomboid major muscle will be distinguished at the level of the T6 and T7 vertebrae, below the trapezius muscle.",[13,14],"Drug: Bupivacain","Device: Ultrasound",{"label":16,"type":17,"description":18,"interventionNames":19},"Group S","ACTIVE_COMPARATOR","* The patient will be positioned laterally, and routine skin disinfection and draping will be completed.\n* Investigators also will use a linear ultrasound probe (Philips clear vue350, Philips healthcare, Andover MAO1810, USA, Machine ID: 1385, Nile medical center, service@nilemed.net) for performing the block.\n* The fifth rib will be identified along the mid-axillary line to locate the deep serratus anterior muscle and the superficial latissimus dorsi muscle.\n* The needle will be inserted between the fifth and fourth ribs using a 22G (50 mm) puncture needle.",[13,14],[21,28],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"DRUG","Bupivacain","After the location will be confirmed through hydrodissection of 1 ml on the plane between the rhomboid major and the underlying intercostal muscles after confirming a negative aspiration via a a 22-gauge short bevel sonovisible needle (Spinocan, B. Braun Melsungen AG, Germany) using an in-plane technique then 10 ml of bupivacaine (concentration 0.25%) will be injected. and its spread will be manifested by the hydrodissection and widening of the plane visualized by ultrasound.",[9,16],[27],"Marcaine 0.25%",{"type":29,"name":30,"description":31,"armGroupLabels":32,"otherNames":33},"DEVICE","Ultrasound","A linear US transducer (Phillips-Saronno Italy) was placed vertically 3 cm lateral to the midline to visualize back muscles: the trapezius above, the rhomboid major in the middle, and the erector-spinae muscle on the bottom, as well as the TPs with shimmering pleura in between.",[9,16],null,[35,39,42],{"name":36,"affiliation":37,"role":38},"Mahdy A Abdelhady, MD","Fayoum University","STUDY_CHAIR",{"name":40,"affiliation":37,"role":41},"Mohamed A Hamed, MD","PRINCIPAL_INVESTIGATOR",{"name":43,"affiliation":37,"role":44},"Mina M Sobhy, MD","STUDY_DIRECTOR",[46,52],{"name":47,"role":48,"phone":49,"phoneExt":50,"email":51},"Emad El Mohamed Abd El-Razek, M.Sc.","CONTACT","0 109 400 6418","+2","ema18@fayoum.edu.eg",{"name":53,"role":48,"phone":54,"phoneExt":50,"email":55},"Yasser S Mostafa, MD","01010509735","ysm03@fayoum.edu.eg",[57],{"facility":58,"status":59,"city":60,"state":61,"zip":62,"country":63,"countryCode":64,"cosmosGeoPoint":65,"geoPoint":70,"contacts":71},"Fayoum University hospital","RECRUITING","El Fayoum Qesm","Faiyum Governorate","63514","Egypt","EG",{"type":66,"coordinates":67},"Point",[68,69],30.83333,29.31667,{"lat":69,"lon":68},[72,77],{"name":73,"role":48,"phone":74,"phoneExt":75,"email":76},"Mohamed A Hamed, MD.","010105093736","+20","mah07@fayoum.edu.eg",{"name":78,"role":48,"phone":79,"phoneExt":75,"email":55},"Yasser S Mostafa, M.D.","1010509735",{"type":81,"investigatorFullName":53,"investigatorTitle":82,"investigatorAffiliation":5,"oldNameTitle":33,"oldOrganization":33},"SPONSOR_INVESTIGATOR","Lecturer","100581917","rhomboid-intercostal-sub-serratus-plane-block-versus-serratus-anterior-plane-block-in-thoractomy-100581917",false,"NCT06856538","Rhomboid Intercostal Sub Serratus Plane Block Versus Serratus Anterior Plane Block in Thoractomy","Analgesic Efficacy of Ultrasound-Guided Rhomboid Intercostal Sub Serratus Plane Block Versus Serratus Anterior Plane Block With General Anesthesia in Thoracotomy","Inclusion Criteria:\n\n* Patients aged 18-70 years.\n* Patients scheduled for unilateral Thoracotomy.\n* American Society of Anesthesiologists (ASA) physical status I-III.\n* Patients who are candidates for general anesthesia.\n* No history of severe allergies to local anesthetics or other medications used during the procedure.\n\nExclusion Criteria:\n\n* ASA PS class ≥ IV patients.\n* obese (BMI ≥ 35) patients.\n* Patients with uncontrolled cardiovascular.\n* patients with neurological deficits, cardiopulmonary, hepatorenal , or metabolic diseases; anticoagulants; any drug allergies.\n* Patients with emergency surgeries or re-do surgeries.\n* Systemic infections or infections at the site of injection.\n* Psychiatric illnesses (schizophrenia, bipolar, uncontrolled anxiety or depression).\n* Narcotic dependency.",true,"ALL","18 Years","70 Years",{"count":95,"type":96},40,"ESTIMATED","INTERVENTIONAL",[99],"NA","The objective of the current study is to compare the efficacy of the analgesic effect of ultrasound-guided unilateral Rhomboid intercostal and sub serratus plane block (RISS) versus Serratus anterior plane block (SAPB) in Thoracotomy incision.",[102,103],"Thoracic","Pain",[105,106,107],"Rhomboid intercostal block","serratus anterior plane block","Thoracotomy","2025-03-04",{"date":110,"type":111},"2025-03-06","ACTUAL",{"date":113,"type":111},"2025-02-01",{"date":115,"type":96},"2026-10-01",{"name":53,"class":6},1]