Double injection may double pain relief after lung surgery
NCT ID NCT07700823
First seen Jul 14, 2026 · Last updated Jul 15, 2026 · Updated 1 time
Summary
This study tests whether giving a nerve block at two rib levels instead of one can better control pain after video-assisted thoracoscopic surgery for lung cancer. Eighty-eight adults scheduled for lung surgery will receive either a standard single-point block or a two-point block, both using the same total amount of numbing medicine. Researchers will measure pain scores, opioid use, and recovery quality to see if the two-point approach improves outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a nerve block procedure using local anesthetic injected at two rib levels (3rd and 5th) compared to the standard single injection at the 5th rib
- What this could lead to
- If the two-point block proves better, it could become a new standard for pain control after thoracoscopic lung surgery, reducing opioid needs and speeding recovery.
- What could go wrong
- This is a small, single-center observational study, not a randomized trial, so results may be influenced by patient selection. The two-point block may also carry a slightly higher risk of complications like bleeding or pneumothorax.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 88 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
This single-center, prospective observational cohort study is conducted at Shanghai Pulmonary Hospital, Tongji University School of Medicine, China. It enrolls adults aged 18-85 years with ASA physical status I-III, scheduled for elective unilateral video-assisted thoracoscopic surgery and planned for ultrasound-guided serratus anterior plane block as routine perioperative analgesia.Eligible participants will be consecutively enrolled after written informed consent. Patients are naturally assigned to two cohorts based on the block regimen selected by the attending anesthesiologist in standard clinical practice, with a target total sample size of 88 (\~44 per cohort). No study-initiated randomization or treatment intervention is applied; all clinical management follows institutional routine protocols.
- Ages
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18 to 85 years
- Sex
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Anyone
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Aged 18 to 85 years at enrollment, regardless of sex * American Society of Anesthesiologists (ASA) physical status grade I to III * Scheduled for elective unilateral video-assisted thoracoscopic surgery * Planned to receive ultrasound-guided SAPB for routine perioperative analgesia * Able to understand study procedures and provide written informed consent Exclusion Criteria: * Local infection or skin lesion at the block puncture site * Known hypersensitivity or allergy to amide local anesthetics * Preexisting sensory abnormality in the chest wall surgical area * Chronic opioid use for \> 3 months, history of chronic pain syndrome, or history of opioid abuse * Severe coagulopathy (international normalized ratio \> 1.5 or platelet count \< 80 × 10⁹/L) * Cognitive impairment or inability to cooperate with postoperative pain assessment * Refusal to provide written informed consent
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
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