This study aims to evaluate the effectiveness of Serratus Posterior Superior Intercostal Plane (SPSIP) block compared to Intercostal Nerve (ICN) block in terms of postoperative pain control, reduction of opioid analgesic consumption, minimization of postoperative respiratory complications, and increase patient satisfaction (using a 5-point Likert scale) in patients undergoing video-assisted thoracoscopic surgery (VATS).
Aged 18-80 years,
American Society of Anesthesiologists (ASA) physical status I-III
Patients who have provided informed consent to participate in the study
Patients who refuse to participate in the study by not signing the informed consent
Patients classified as ASA > 3, according to the system established by the American Society of Anesthesiologists
Patients unable to understand the use of the NPR Scale or the PCA device that will be used for postoperative analgesia
Coagulation disorders or anticoagulant therapy contraindicating regional anesthesia
Patients who will undergo elective VATS surgery in the thoracic surgery operating room of Kocaeli City Hospital
Case-control
Prospective
Not listed
Postoperative pain intensity
In both study groups, postoperative pain intensity at rest and with coughing was measured using the Numerical Pain Rating Scale (NPRS), a numerical scale ranging from 0 to 10 (0 meaning no pain, 10 meaning the most severe pain imaginable).
Total opioid drug consumption
The total amount of opioid doses administered via a Patient Controlled Analgesia (PCA) device in the first 24 hours after surgery
Consumption of rescue analgesics
The total dose of dexketoprofen required by the patient during each specified time interval in the first 24 hours after surgery.
Postoperative Complications
Postoperative complications such as nausea, vomiting or other adverse events will be recorded
Patient satisfaction score
evaluated using a 5-point Likert scale (1=very dissatisfied, 5=very satisfied)
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