Please select the eligibility criteria that correspond to the clinical trial below.
Title: Efficacy of Serratus Anterior Plane (SAP) Block Versus Erector Spinae Plane (ESP) Block for Quality of Recovery After Video Assisted Thoracic Surgery : A Randomised Control Trial
Brief Summary: During VATS (Video assisted thoracic surgery) small incisions are made in the patient's chest through which a camera and instruments are inserted to allow a lung operation to be performed. Often patients experience a substantial amount of pain and difficult recovery after this type of operation. Anaesthesiologists sometimes use "Regional Anaesthesia" to minimise the pain and help patient recovery after the operation. This involves injecting local anaesthesia into the nerves around the chest wall to effectively numb that part of the chest. There is a variety of different locations on the chest wall where the local anaesthetic can be deposited and no study has measured whether one technique is better than the other in terms of improving patients' recovery experience. Our study compares two new techniques for Regional Anaesthesia after this type of surgery. Participants will be randomly assigned (like tossing a coin) to receive either a SAP (Serratus Anterior Plane) or ESP (Erector Spinae Plane) Block. Both techniques are described within last five years, but have never been compared for chest surgery


Options:
A: Inclusion Criteria:

* 25-70 years of agge
* ASA I-II
* Undergoing elective breast cancer surgery

Exclusion Criteria:

* obesity (body mass index \>35 kg/m2)
* infection of the skin at the site of needle puncture area
* patients with known allergies to any of the study drugs
* coagulopathy
* recent use of analgesic drugs
B: Inclusion Criteria:

* Male and Female participants providing written informed consent,
* ASA grade 1- 4,
* aged over 18
* undergoing a VATS procedure under General Anaesthesia

Exclusion Criteria:

* Absence of informed written consent,
* pre existing infection at block site,-
* severe coagulopathy,
* allergy to local anaesthesia,
* pre existing neurological deficit,
* previous history of opiate abuse,
* pre existing chronic pain condition,
* pre-existing dementia \[because of need to co-operate in completing QoR-15 score day after surgery\].
C: Inclusion Criteria:

* Patient 18 years old and above
* Patient has given consent
* Patient is able to fill in questionnaire on his\\her own, unaided (exceptions are patients who are unable to fill in the questionnaire for technical reasons, e.g. can not write due to the surgery (e.g. their arm in a cast) or unable to see the text (e.g. spectacles not available); patient is in department, available for interview.
* Patient is capable of participating in the CPSP incidence study (i.e. capable to fill the questionnaires on the website at 6 and 12 months after surgery).
* Time of data collection immediately after surgery is POD1 and 24±12 hrs after surgery.
* Patient has not undergone repeat surgery (same organ) during current hospitalization.
* Patient has undergone a surgery included in the appendix 1 list below:

List of surgeries to be included:

Surgery without preoperative pain

1. Thoracotomy for lung cancer
2. Breast surgery for cancer
3. Inguinal hernia repair (laparoscopic)
4. Hysterectomy (laparoscopic)
5. Hysterectomy (open)
6. Hysterectomy (vaginal)
7. Colectomy (laparoscopic)
8. Colectomy (open)
9. Thyroidectomy
10. C section
11. High gastric bypass
12. Laparoscopy
13. Prostatectomy

Surgery with potential preoperative pain

1. Cholecystectomy (laparoscopic)
2. Cholecystectomy (open)
3. Total knee arthroplasty
4. Knee arthroscopy
5. Total hip arthroplasty
6. Extracorporeal circulation auxiliary to open heart surgery
7. Spinal surgery
8. Hip arthrotomy

Exclusion Criteria:

* patient not fulfilling at least one of the inclusion criteria mentioned above
D: Inclusion Criteria:Male and Female participants providing written informed consent, ASA grade 1- 4, age group 18 and over undergoing Posterior approach Spinal surgery involving 2 or more levels of decompression in the lumbar or thoracic regions.

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Exclusion Criteria:Absence of informed written consent, pre existing infection at block site, severe coagulopathy, allergy to local anaesthesia, , previous history of opiate abuse, pre existing chronic pain condition, pre-existing dementia \[because of need to co-operate in completing QoR-15 score day after surgery\], decompression involving cervical levels of vertebrae, decompression due to queried or confirmed malignancy

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Answer: B