Evidence map›Paper›PMID 36883093›Full record

ArticleCureus2023

Serratus Posterior Superior Intercostal Plane Block: A Technical Report on the Description of a Novel Periparavertebral Block for Thoracic Pain.

Serkan Tulgar, Bahadır Ciftci, Ali Ahiskalioglu, Bora Bilal, Bayram U Sakul, Ali O Korkmaz, Nureda N Bozkurt, Alessandro De Cassai, Augusto J Torres, Hesham Elsharkawy and 1 more

23 registry-linked trialsAbstract read
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 23 registered trials, which are not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05901103 nacompletednot on this map

The Efficacy of Serratus Posterior Superior Intercostal Plane Block (SPSIPB) on Postoperative Pain and Total Analgesic Consumption in Patients Undergoing Video-assisted Thoracoscopic Surgery (VATS)

TypeinterventionalSponsorCumhuriyet UniversityRan2023 to 2023Enrolled24ConditionsPost Operative PainArmsSerratus posterior superior intercostal plane block (SPSIPB)
NCT05901116 nacompletednot on this map

The Efficacy of Serratus Posterior Superior Intercostal Plane Block (SPSIPB) on Postoperative Pain and Total Analgesic Consumption in Patients Undergoing Reduction Mammoplasty Surgery: Case Series

TypeinterventionalSponsorCumhuriyet UniversityRan2023 to 2023Enrolled10ConditionsPost Operative PainArmsSerratus posterior superior intercostal plane block (SPSIPB)
NCT05901129 nacompletednot on this map

The Efficacy of Serratus Posterior Superior Intercostal Plane Block (SPSIPB) on Postoperative Pain and Total Analgesic Consumption in Patients Undergoing Shoulder Surgery

TypeinterventionalSponsorCumhuriyet UniversityRan2023 to 2023Enrolled24ConditionsPost Operative PainArmsSerratus posterior superior intercostal plane block (SPSIPB)
NCT05972083 nacompletednot on this map

The Efficacy of Serratus Posterior Superior Interfacial Plane Block on Postoperative Pain Control in Female Patients Underwent Mastectomy and Axillary Lymph Node Dissection: A Randomized, Prospective, Controlled Study

TypeinterventionalSponsorMedipol UniversityRan2023 to 2024Enrolled60ConditionsBreast DiseasesArmsAnalgesia management, group S and C
NCT05972122 nawithdrawnnot on this map

The Efficacy of Serratus Posterior Superior Interfacial Plane Block on Postoperative Analgesia in Patients Underwent Video-Assisted Thoracoscopic Surgery: A Randomized, Prospective, Controlled Study

TypeinterventionalSponsorMedipol UniversityRan2023 to 2024Enrolled0ConditionsLung DiseasesArmsAnalgesia management, group S and C
NCT06352398 nacompletednot on this map

Comparison of Analgesic Efficacy in Video-Assisted Thoracoscopic Surgery Patients

TypeinterventionalSponsorBurcu Bozdogan TuysuzRan2023 to 2024Enrolled52ConditionsVideo-Assisted Thoracoscopic SurgeryArmserector spina plan block, Serratus posterior superior intercostal plan block (SPSIPB), 0.25% bupivacaine
NCT06545409 narecruitingnot on this mapstarted 2025, after this paper: background citation

Use of Serratus Posterior Superior Intercostal Plane Block in Robotic-Assisted Thoracoscopic Surgery for Thymectomy: A Randomized Controlled Trial

TypeinterventionalSponsorFondazione Policlinico Universitario Agostino Gemelli IRCCSRan2025 to 2026Enrolled28ConditionsRATS Surgery, Thymectomy, Locoregional Anesthesia, Postoperative Pain ManagementArmsUltrasound-guided Serratus Posterior Superior Intercostal Plane Block performed with 0.25% bupivacaine, Ultrasound-guided Serratus Posterior Superior Intercostal Plane Block performed with a placebo solution (0.9% NaCl)
NCT06546839 nacompletednot on this mapstarted 2024, after this paper: background citation

Comparison of Serratus Posterior Superior Interfacial Plane Block vs Serratus Anterior Plane Block on Postoperative Analgesia in Patients Underwent Video-Assisted Thoracoscopic Surgery: A Randomized, Prospective, Controlled Study

TypeinterventionalSponsorMedipol UniversityRan2024 to 2025Enrolled50ConditionsLung Diseases, Lung Cancer, Lung Neoplasms, Lung Cancer MetastaticArmsSPSIPB blcok, SAPB block, Postoperative analgesia management
NCT06866054 narecruitingnot on this mapstarted 2025, after this paper: background citation

Evaluation of the Effectiveness of Ultrasound-Guided Serratus Posterior Superior Intercostal Plane Block for Postoperative Analgesia Management in Patients Undergoing Arthroscopic Shoulder Surgery

TypeinterventionalSponsorKahramanmaras Sutcu Imam UniversityRan2025 to 2025Enrolled50ConditionsShoulder Pain, Shoulder InjuriesArmsSPSIPB block, Postoperative analgesia management
NCT07165041 nacompletednot on this mapstarted 2025, after this paper: background citation

Efficacy of Serratus Posterior Superior Intercostal Plane Block in Cardiac Implantable Electronic Device Implantation: A Prospective, Double-Blind, Randomized Controlled Clinical Trial

TypeinterventionalSponsorGozde AltunRan2025 to 2026Enrolled60ConditionsPain, PostoperativeArmsSPSIP Block, Sham procedure
NCT07233681 nacompletednot on this mapstarted 2024, after this paper: background citation

Comparison of Serratus Posterior Superior Intercostal Plane Block With Combination of Suprascapular and Infraclavicular Nerve Blocks in Postoperative Analgesia Management in Arthroscopic Shoulder Surgery

TypeinterventionalSponsorCumhuriyet UniversityRan2024 to 2024Enrolled30ConditionsPain After Shoulder Surgery, Shoulder Arthroscopic SurgeryArmssuprascapular nerve block, Serratus posterior superior intercostal plane block
NCT07238348 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Prospective Evaluation of Analgesic Outcomes of Serratus Posterior Superior Intercostal Plane Block Versus Thoracic Epidural Analgesia and Systemic Opioid Analgesia After Video-Assisted Thoracoscopic Surgery

Typeobservational_patient_registrySponsorKaradeniz Technical UniversityRan2025 to 2026Enrolled120ConditionsPostoperative Pain Management, Video-assisted Thoracoscopic Surgery (VATS), Thoracic Epidural Analgesia, Serratus Posterior Superior Intercostal Plane Block
NCT07250373 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Serratus Posterior Superior Intercostal Nerve (SPSIP) Block Versus Intercostal Nerve (ICN) Block in Patients Undergoing Uniportal Video-Assisted Thoracic Surgery (Uniportal-VATS): a Randomized Controlled Trial

TypeinterventionalSponsorFondazione Policlinico Universitario Agostino Gemelli IRCCSRan2025 to 2027Enrolled28ConditionsUniportal-VATS, Lung Resection Procedures, Locoregional Anesthesia, Post-operative Pain ManagementArmsSPSIP block, ICN block
NCT07275047 narecruitingnot on this mapstarted 2025, after this paper: background citation

Comparison of Ultrasound Guided Serratus Posterior Superior Intercostal Plane Block Versus Paravertebral Block for Postoperative Analgesia After Thoracotomy

TypeinterventionalSponsorBursa City HospitalRan2025 to 2026Enrolled80ConditionsPost-thoracotomy PainArmsSerratus Posterior Superior Intercostal Plane Block, Thoracic Paravertebral Block
NCT07278050 narecruitingnot on this mapstarted 2026, after this paper: background citation

Interscalene Block vs Serratus Posterior Superior Intercostal Plane Block on Postoperative Analgesia Management After Arthroscopic Shoulder Surgery: A Randomized Prospective Study

TypeinterventionalSponsorMedipol UniversityRan2026 to 2026Enrolled60ConditionsShoulder Pain, Shoulder DiseaseArmsErector spinae plane block, Serratus posterior superior intercostal plane block, Postoperative analgesia management
NCT07287761 completednot on this mapstarted 2025, after this paper: background citation

Comparison of Erector Spinae Plane Block and Serratus Posterior Superior Intercostal Plane Block in Postoperative Pain Management After Coronary Artery Bypass Grafting: A Prospective, Observational Study

TypeobservationalSponsorAnkara Education and Research HospitalRan2025 to 2026Enrolled55ConditionsPostoperative Pain After Thoracic Surgery, Coronary Artery Bypass Graft (CABG)
NCT07394673 narecruitingnot on this mapstarted 2026, after this paper: background citation

Postoperative Analgesic Efficacy of Ultrasound-Guided Serratus Posterior Superior Intercostal Plane Block in Arthroscopic Shoulder Surgery

TypeinterventionalSponsorBursa City HospitalRan2026 to 2026Enrolled80ConditionsPostoperative Pain, Acute, Shoulder Pain, Serratus Posterior Superior Intercostal Plane BlockArmsGroup SPSIP: Serratus Posterior Superior İntercostal Plane Block (SPSIP)
NCT07446868 narecruitingnot on this mapstarted 2026, after this paper: background citation

Ultrasound-Guided Serratus Posterior Superior Intercostal Plane Block Versus Erector Spinae Plane Block for Postoperative Pain Management After Modified Radical Mastectomy: A Randomized Clinical Trial

TypeinterventionalSponsorCairo UniversityRan2026 to 2027Enrolled50ConditionsBreast Cancer, Postoperative Pain, Acute Post-surgical PainArmsSerratus Posterior Superior Intercostal Plane Block, Erector Spinae Plane Block
NCT07510269 narecruitingnot on this mapstarted 2025, after this paper: background citation

Mastektomi Planlanan Hastalarda Serratus Posterior Superior İnterkostal Plan Bloğu Ile Serratus Anterior Plan Bloğunun Peroperatif Analjezi Yönetimi Üzerine Etkilerinin Araştırılması

TypeinterventionalSponsorUludag UniversityRan2025 to 2026Enrolled66ConditionsPostoperative Pain, Nerve Block, Mastectomy, Patient Outcome AssessmentArmsSAP Block, SPSIP Block
NCT07577908 completednot on this mapstarted 2026, after this paper: background citation

Comparison Of The Analgesic Effectiveness Of Ultrasonography-Guided Serratus Posterıor Superior Intercostal Plane (SPSIP) Block And Intercostal Nerve (ICN) Block In Video-Assisted Thoracoscopic Surgery Patients

TypeobservationalSponsorKocaeli City HospitalRan2026 to 2026Enrolled82ConditionsIntercostal Nerve Block, Serratus Posterior Superior Intercostal Plane Block, Post-operative Pain Management, VATS
NCT07657949 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effect of Ultrasound-Guided Serratus Posterior Superior Intercostal Plane Block on Opioid Consumption After Reduction Mammaplasty: A Prospective Randomized Controlled Trial

TypeinterventionalSponsorCumhuriyet University HospitalRan2026 to 2027Enrolled80ConditionsPostoperative Pain Breast Reduction, Mammaplasty, Analgesia, Nerve BlockArmsUltrasound-Guided Serratus Posterior Superior Intercostal Plane Block, Standard Perioperative Pain Treatment
NCT07658521 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Ultrasound-Guided Serratus Posterior Superior Plane and Transversus Thoracic Plane Blocks for Postoperative Analgesia After Coronary Artery Bypass Grafting: A Randomized Controlled Trial

TypeinterventionalSponsorAin Shams UniversityRan2026 to 2027Enrolled88ConditionsPostoperative Pain Following Coronary Artery Bypass Grafting (CABG)ArmsTransversus Thoracic Plane Block, Transversus Thoracic Plane (TTP) Block, Conventional Systemic Analgesia, Bupivacaine 0.25%
NCT07768826 naactive not recruitingnot on this mapstarted 2026, after this paper: background citation

Comparison of Serratus Posterior Superior Intercostal Plane Block and Paravertebral Block for Post-Thoracotomy Pain Management

TypeinterventionalSponsorAnkara City Hospital BilkentRan2026 to 2026Enrolled66ConditionsPostthoracotomy PainArmsSerratus Posterior Superior Intercostal Plane Block (SPSIPB), Paravertebral Block (PVB)
3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Serkan TulgarAnesthesiology, Samsun University, Samsun, TUR.
Bahadır CiftciAnesthesiology and Reanimation, Istanbul Medipol University, Istanbul, TUR.
Ali AhiskaliogluClinical Research, Development, and Design Application and Research Center, Ataturk University School of Medicine, Erzurum, TUR.
Bora BilalAnesthesiology and Reanimation, Kahramanmaras Sutcu Imam University, Kahramanmaras, TUR.
Bayram U SakulAnatomy, Istanbul Medipol University, Istanbul, TUR.
Ali O KorkmazAnatomy, Istanbul Medipol University, Istanbul, TUR.
Nureda N BozkurtAnatomy, Istanbul Medipol University, Istanbul, TUR.
Alessandro De CassaiAnesthesiology, University of Padova, Padova, ITA.
Augusto J TorresAnesthesiology and Reanimation, Pain and Healing Center MetroHealth, Cleveland, USA.
Hesham ElsharkawyAnesthesiology, Cleveland Clinic, Cleveland, USA.
Haci A AliciAlgology, Medipol University Faculty of Medicine, Istanbul, TUR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objective We report a novel block technique aimed to provide thoracic analgesia: the serratus posterior superior intercostal plane (SPSIP) block. Design A cadaveric evaluation along with a retrospective case series evaluating the potential analgesic effect of the SPSIP block. This study included one unembalmed cadaver and five patients. Interventions Bilateral ultrasound-guided SPSIP block was used on cadavers with 30 mL of methylene blue 0.5% on each side; single-injection SPSIP blocks were used in patients. To measure results, dye spread was used in the cadaver, and dermatomal/pain score evaluation was used in patients. Main results Anatomical investigation in one unembalmed cadaver shows that its mechanism of action covers the rhomboid major muscle, erector spinae muscle, the deep fascia of the subscapularis/serratus anterior muscles, and intercostal nerves. In our patients, SPSIP resulted in an almost complete sensory block in the back of the neck, shoulder, and hemithorax. Conclusion Our cadaveric study shows extensive dye spread from C7 to T7. Patients who were administrated SPSIP block reported consistent dermatomal blockade from C3 to T10 levels of the hemitorax. The SPSIP block seems to be a safe, simple, and effective technique for thoracic analgesia.

Indexed as

cadaveric studyinterfascial plane blockpain managementserratus posterior superior intercostal plane blockthoracic analgesia

Identifiers

PMID36883093
PMCPMC9985818

What OpenQuestion holds

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Registered trials

and 17 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.