## Protocol Section
### Identification Module
**NCT ID:** NCT06436755

**Brief Title:** Serratus Anterior Plane Block and Transthoracic Plane Block in Pectus Surgery

**Official Title:** Effect of Serratus Anterior Plane Block and Transthoracic Plane Block Combination on Postoperative Analgesia From Pectus Surgery

#### Organization Study ID Info
**ID:** 2024-271
#### Organization
**Class:** OTHER_GOV
**Full Name:** Başakşehir Çam & Sakura City Hospital
### Status Module
#### Completion Date
**Date:** 2025-11-21

**Type:** ESTIMATED

#### Expanded Access Info
#### Last Update Post Date
**Date:** 2024-05-31

**Type:** ESTIMATED

**Last Update Submit Date:** 2024-05-24

**Overall Status:** NOT_YET_RECRUITING

#### Primary Completion Date
**Date:** 2025-11-21

**Type:** ESTIMATED

#### Start Date
**Date:** 2024-06-01

**Type:** ESTIMATED

**Status Verified Date:** 2024-05

#### Study First Post Date
**Date:** 2024-05-31
**Type:** ESTIMATED
**Study First Submit Date:** 2024-05-15
**Study First Submit QC Date:** 2024-05-24
### Sponsor Collaborators Module

#### Lead Sponsor

**Class:** OTHER_GOV

**Name:** Başakşehir Çam & Sakura City Hospital

#### Responsible Party

**Investigator Affiliation:** Başakşehir Çam & Sakura City Hospital

**Investigator Full Name:** Cansu KILINC BERKTAS

**Investigator Title:** Specialist MD

**Type:** PRINCIPAL_INVESTIGATOR

### Oversight Module

**Is FDA Regulated Device:** False

**Is FDA Regulated Drug:** False

**Oversight Has DMC:** False

### Description Module

**Brief Summary:** The most important problem in the postoperative period in patients scheduled for pectus deformity correction surgery is pain. Due to the catastrophic neurological complications of thoracic epidural analgesia, the tendency towards plane blocks has been increasing in recent years. Serratus Plane Block (SAP Block), performed under ultrasound guidance, is used to treat pain in thoracic surgery. However, whether it has an effect on sternum pain is still controversial and there are not enough studies. Transversus thoracic plane block (TTP Block) provides effective analgesia in sternotomies. For this reason, we aimed to show that the TTP block added to the SAP block will provide more effective analgesia in order to provide adequate analgesia for the pressure and pain sensation of the bars placed on the sternum in pectus surgery.

**Detailed Description:** The most important problem in the postoperative period in patients scheduled for pectus deformity correction surgery is pain. It is very important for patients to start active breathing exercises and mobilize early. Complications develop less frequently in patients who actively breathe and mobilize early. The tolerability of the surgery by the patient and the absence of pain in the postoperative period ensure early discharge . Due to the catastrophic neurological complications of thoracic epidural analgesia, the tendency towards plane blocks has been increasing in recent years. Serratus Plane Block (SAP Block), performed under ultrasound guidance, is used to treat pain in thoracic surgery. However, whether it has an effect on sternum pain is still controversial and there are not enough studies. Transversus thoracic plane block (TTP Block) provides effective analgesia in sternotomies. For this reason, we aimed to show that the TTP block added to the SAP block will provide more effective analgesia in order to provide adequate analgesia for the pressure and pain sensation of the bars placed on the sternum in pectus surgery.

### Conditions Module

**Conditions:**

- Pectus Excavatum

**Keywords:**

- Transversus thoracic muscle plane block

- postoperative analgesia

- pectus excavatum

### Design Module

#### Design Info

**Observational Model:** COHORT

**Time Perspective:** CROSS_SECTIONAL

#### Enrollment Info

**Count:** 40

**Type:** ESTIMATED

**Study Type:** OBSERVATIONAL

### Arms Interventions Module

#### Arm Group 1

**Description:** Patients who underwent serratus anterior plane block

**Intervention Names:**

- Procedure: no intervention,this is a observational studies

**Label:** Serratus anterior plane block (SAP) group

#### Arm Group 2

**Description:** Patients who underwent Serratus anterior plane block (SAP) and Transversus thoracic plane block (TTP) group

**Intervention Names:**

- Procedure: no intervention,this is a observational studies

**Label:** Serratus anterior plane block (SAP) and Transversus thoracic plane block (TTP) group

### Interventions

#### Intervention 1

**Arm Group Labels:**

- Serratus anterior plane block (SAP) and Transversus thoracic plane block (TTP) group

- Serratus anterior plane block (SAP) group

**Description:** no intervention,this is a observational studies

**Name:** no intervention,this is a observational studies

**Type:** PROCEDURE

### Outcomes Module

#### Primary Outcomes

**Description:** Serratus Plane Block (SAP Block), performed under ultrasound guidance, is used to treat pain in thoracic surgery. However, whether it has an effect on sternum pain is still controversial and there are not enough studies. Transversus thoracic plane block (TTP Block) provides effective analgesia in sternotomies. For this reason, TTP block will be added to the SAP block in order to provide adequate analgesia for the pressure and pain sensation of the bars placed on the sternum in pectus surgery.

The patient's pain score will be evaluated with the Numerical Rating Scale (NRS). Hourly pain scores in the postoperative period are 0./1./4./6./12./18./24./48.

Additional complications

**Measure:** Effect of Serratus Anterior Plane Block and Transthoracic Plane Block Combination on Postoperative Analgesia in Pectus Surgery

**Time Frame:** postoperative 48 hours

**Description:** Total amount of analgesia for 48 hours,

**Measure:** Postoperative Analgesia in Pectus Surgery

**Time Frame:** postoperative 48 hours

**Description:** Presence of need for additional analgesics,

**Measure:** Postoperative pain in Pectus Surgery

**Time Frame:** postoperative 48 hours

### Eligibility Module

**Eligibility Criteria:** Inclusion Criteria:

Patients who will undergo surgery due to pectus deformity All patients over the age of 15 who will be operated on due to pectus deformity

Exclusion Criteria:

* Known allergy to local anesthetics,
* Uncooperative patient,
* The patient who refuses to participate in the study,
* Patients under 18 years of age.

**Minimum Age:** 15 Years

**Sampling Method:** PROBABILITY_SAMPLE

**Sex:** ALL

**Standard Ages:**

- CHILD

- ADULT

- OLDER_ADULT

**Study Population:** All patients over the age of 15 who will be operated on due to pectus deformity

### Contacts Locations Module

#### Central Contacts

**Contact 1:**

**Email:** cansukilinc87@gmail.com

**Name:** CANSU KILINÇ BERKTAŞ

**Phone:** +9005542448087

**Role:** CONTACT

#### Locations

**Location 1:**

**City:** Istanbul

**Country:** Turkey

**Facility:** Başakşehir Çam Ve Sakura Şehir Hastanesi

**State:** İ̇stanbul

**Zip:** 34480

### IPD Sharing Statement Module

**IPD Sharing:** NO

## Derived Section

### Condition Browse Module - Ancestors

- ID: D000001848

- Term: Bone Diseases, Developmental

- ID: D000001847

- Term: Bone Diseases

- ID: D000009140

- Term: Musculoskeletal Diseases

- ID: D000009139

- Term: Musculoskeletal Abnormalities

- ID: D000000013

- Term: Congenital Abnormalities

### Condition Browse Module - Browse Branches

- Abbrev: BC05

- Name: Musculoskeletal Diseases

- Abbrev: BC16

- Name: Diseases and Abnormalities at or Before Birth

- Abbrev: All

- Name: All Conditions

### Condition Browse Module - Browse Leaves

- ID: M8779

- Name: Funnel Chest

- Relevance: HIGH

- As Found: Pectus Excavatum

- ID: M5126

- Name: Bone Diseases

- Relevance: LOW

- As Found: Unknown

- ID: M5127

- Name: Bone Diseases, Developmental

- Relevance: LOW

- As Found: Unknown

- ID: M12097

- Name: Musculoskeletal Diseases

- Relevance: LOW

- As Found: Unknown

- ID: M12

- Name: Congenital Abnormalities

- Relevance: LOW

- As Found: Unknown

- ID: M12096

- Name: Musculoskeletal Abnormalities

- Relevance: LOW

- As Found: Unknown

### Condition Browse Module - Meshes

- ID: D000005660

- Term: Funnel Chest

### Misc Info Module

- Version Holder: 2024-05-31
