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Comparison of the Effectiveness of Midpoint Transverse Process to Pleura (MTP) Block and Erector Spinae Plane (ESP) Block in Video-Assisted Thoracoscopic Surgery (VATS) at RS Ngoerah

RecruitingNAAges 18 Years - 65 YearsAllUdayana University
NCT07868484 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

This randomized, double-blind controlled trial compares two ultrasound-guided fascial plane blocks, the midpoint transverse process to pleura (MTP) block and the erector spinae plane (ESP) block, for postoperative analgesia in adults undergoing elective video-assisted thoracoscopic surgery (VATS) at RS Ngoerah, Denpasar, Indonesia. Both blocks are performed at the T4-T5 level after induction of general anesthesia and before skin incision, with a single injection of 20 mL ropivacaine 0.375%. Participants are randomly allocated, using block randomization and sealed opaque envelopes, to the MTP block group or the ESP block group. All participants receive the same general anesthesia, the same multimodal analgesia, and the same fentanyl patient-controlled analgesia (PCA) after surgery. The primary outcome is total fentanyl consumption via PCA in the first 24 hours after surgery. Secondary out

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📋 Eligibility rules (as published)
Inclusion Criteria: * Adult patients scheduled for elective video-assisted thoracoscopic surgery (VATS) at RS Ngoerah * Age 18-65 years * ASA physical status I-III * Body mass index 18-30 kg/m2 * Able to communicate well in Indonesian, understand the use of the Numerical Rating Scale, and complete the QoR-15 questionnaire * Willing to participate and has signed written informed consent Exclusion Criteria: * Contraindication to regional anesthesia * Allergy to the drugs used (ropivacaine, fentanyl, paracetamol and/or ibuprofen) * Chronic chest pain for more than 2 months before surgery * Unable to be assessed with the Numerical Rating Scale and unable to operate the PCA device
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What it tests

  • Midpoint Transverse Process to Pleura (MTP) block
  • Erector spinae plane (ESP) block
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Where

1 site
RS Ngoerah
Denpasar, Indonesia
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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