[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100634470":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":24,"centralContacts":28,"locations":34,"responsibleParty":53,"collaborators":24,"id":57,"slug":58,"hasResults":59,"nctId":60,"briefTitle":61,"officialTitle":62,"acronym":24,"eligibilityCriteria":63,"healthyVolunteers":59,"sex":64,"minAge":65,"maxAge":66,"enrollmentInfo":67,"targetDuration":24,"studyType":70,"phases":71,"briefSummary":73,"conditions":74,"keywords":78,"overallStatus":37,"whyStopped":24,"lastUpdateSubmitDate":84,"lastUpdatePostDateStruct":85,"startDateStruct":88,"completionDateStruct":90,"leadSponsor":92,"locationsCount":93},{"fullName":5,"class":6},"Ondokuz Mayıs University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Intrathecal Morphine","EXPERIMENTAL","Participants receive intrathecal morphine before induction of general anesthesia. Intrathecal morphine is administered at a dose of 5 micrograms per kilogram in 3 milliliters of saline via spinal injection. All patients subsequently undergo standardized general anesthesia and receive postoperative patient-controlled analgesia with intravenous morphine.",[13],"Procedure: Intrathecal Morphine",{"label":15,"type":10,"description":16,"interventionNames":17},"Serratus Posterior Superior Intercostal Plane Block","Participants receive an ultrasound-guided serratus posterior superior intercostal plane block before induction of general anesthesia. A total of 30 milliliters of 0.25 percent bupivacaine with epinephrine is administered into the interfascial plane between the serratus posterior superior muscle and intercostal muscles. All patients subsequently undergo standardized general anesthesia and receive postoperative patient-controlled analgesia with intravenous morphine.",[18],"Procedure: Serratus Posterior Superior Intercostal Plane Block",[20,25],{"type":21,"name":9,"description":22,"armGroupLabels":23,"otherNames":24},"PROCEDURE","Intrathecal morphine is administered at a dose of 5 micrograms per kilogram diluted in 3 milliliters of saline via spinal injection at the lumbar level before induction of general anesthesia.",[9],null,{"type":21,"name":15,"description":26,"armGroupLabels":27,"otherNames":24},"Ultrasound-guided serratus posterior superior intercostal plane block is performed before induction of general anesthesia using 30 milliliters of 0.25 percent bupivacaine with epinephrine injected into the interfascial plane between the serratus posterior superior muscle and intercostal muscles.",[15],[29],{"name":30,"role":31,"phone":32,"phoneExt":24,"email":33},"Cengiz Kaya, Prof Dr","CONTACT","+905056793359","cengiz.kaya@omu.edu.tr",[35],{"facility":36,"status":37,"city":38,"state":39,"zip":40,"country":41,"countryCode":24,"cosmosGeoPoint":42,"geoPoint":47,"contacts":48},"Ondokuz Mayis University","RECRUITING","Atakent","Samsun","55270","Turkey (Türkiye)",{"type":43,"coordinates":44},"Point",[45,46],36.20974,41.33089,{"lat":46,"lon":45},[49],{"name":50,"role":31,"phone":51,"phoneExt":24,"email":52},"Cengiz Kaya","05056793359","raufemre@yahoo.com",{"type":54,"investigatorFullName":55,"investigatorTitle":56,"investigatorAffiliation":5,"oldNameTitle":24,"oldOrganization":24},"PRINCIPAL_INVESTIGATOR","Cengiz KAYA","Prof. Dr.","100634470","serratus-posterior-superior-intercostal-plane-block-versus-intrathecal-morphine-in-vats-100634470",false,"NCT07540104","Serratus Posterior Superior Intercostal Plane Block Versus Intrathecal Morphine in VATs","Comparison of the Effects of Serratus Posterior Superior Intercostal Plane Block and Intrathecal Morphine on Postoperative Acute Pain in Patients Undergoing Video-assisted Thoracoscopic Surgery","Inclusion Criteria:\n\n* Age between 18 and 75 years\n* American Society of Anesthesiologists physical status I to III\n* Scheduled for elective video-assisted thoracoscopic surgery including wedge resection, segmentectomy, or lobectomy\n\nExclusion Criteria:\n\n* Refusal to participate\n* Pregnancy\n* Morbid obesity (body mass index greater than 40 kg per square meter)\n* Allergy to opioids, local anesthetics, or nonsteroidal anti-inflammatory drugs\n* Neuropsychiatric disorders, cognitive impairment, or inability to communicate\n* History of substance abuse\n* Use of anticoagulant therapy or presence of bleeding disorders\n* Active systemic infection\n* Severe cardiovascular, hepatic, renal, or endocrine disease\n* Chronic pain syndrome or ongoing chronic pain treatment\n* Emergency surgery or prior ipsilateral thoracic surgery\n* Preoperative opioid use\n* Significant intraoperative or postoperative bleeding or hemodynamic instability\n* Requirement for prolonged postoperative mechanical ventilation longer than 18 hours","ALL","18 Years","75 Years",{"count":68,"type":69},60,"ESTIMATED","INTERVENTIONAL",[72],"NA","This study aims to compare the analgesic effects of the serratus posterior superior intercostal plane block and intrathecal morphine in patients undergoing video-assisted thoracoscopic surgery.\n\nThis is a prospective, randomized, controlled, single-center clinical trial including adult patients undergoing elective thoracoscopic surgery. Participants will be randomly assigned to receive either a serratus posterior superior intercostal plane block or intrathecal morphine before general anesthesia.\n\nThe primary outcome is cumulative opioid consumption during the first 24 postoperative hours, expressed as intravenous morphine milligram equivalents. Secondary outcomes include pain scores, time to first analgesic request, quality of recovery, and postoperative complications.\n\nThe study aims to determine whether these two techniques differ in their effectiveness for postoperative pain management.",[75,76,77],"Thoracic Anesthesia","Postoperative Pain","Video Assisted Thoracic Surgery (VATS)",[79,80,81,82,83],"Thoracic Surgery, Video-Assisted","Analgesia, Postoperative","Morphine","Injections, Spinal","Nerve Block","2026-04-28",{"date":86,"type":87},"2026-05-04","ACTUAL",{"date":89,"type":69},"2026-04-15",{"date":91,"type":69},"2026-09-30",{"name":5,"class":6},1]