A randomized trial to compare serratus anterior plane block and erector spinae plane block for pain management following thoracoscopic surgery

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dc.authorid0000-0002-5580-5960
dc.authorid0000-0002-3245-6614
dc.authorid0000-0003-0811-4945
dc.authorid0000-0003-1051-1675
dc.contributor.authorEkinci, Mürsel
dc.contributor.authorÇiftçi, Bahadır
dc.contributor.authorGölboyu, Birzat Emre
dc.contributor.authorDemiraran, Yavuz
dc.contributor.authorBayrak, Yusuf
dc.contributor.authorTulgar, Serkan
dc.date.accessioned2020-07-28T06:04:52Z
dc.date.available2020-07-28T06:04:52Z
dc.date.issued2020
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Göğüs Cerrahisi Ana Bilim Dalı
dc.description.abstractObjective. Comparison of ultrasound (US)-guided erector spinae plane block (ESPB) and serratus anterior plane block (SAPB) in video-assisted thoracic surgery (VATS) patients. The primary outcome was to compare perioperative and postoperative (48 hours) opioid consumption. Methods. A total of 60 patients were randomized into two groups (N =30): an ESPB group and an SAPB group. All the patients received intravenous patient-controlled postoperative analgesia and ibuprofen 400 mg intravenously every eight hours. Visual analog scale (VAS) scores, opioid consumption, and adverse events were recorded. Results. Intraoperative and postoperative opioid consumption at 0-8, 8-16, and 16-24 hours and rescue analgesic use were significantly lower in the ESPB group (P< 0.05). Static/dynamic VAS scores were significantly lower in the ESPB group (P< 0.05). There was no significant difference between static VAS scores at the fourth hour. There were no differences between adverse effects. Block procedure time and one-time puncture success were similar between groups (P > 0.05 each). Conclusion. US-guided ESPB may provide better pain control than SAPB after VATS. Question. Even though there are studies about analgesia management after VATS, clinicians want to perform the technique that is both less invasive and more effective. Findings. This randomized trial showed that US-guided ESPB provides effective analgesia compared with SAPB. Meaning. Performing single-injection ESPB reduces VAS scores and opioid consumption compared with SAPB.
dc.identifier.citationEkinci, M., Çiftçi, B., Gölboyu, B. E., Demiraran, Y., Bayrak, Y. ve Tulgar, S. (2020). A randomized trial to compare serratus anterior plane block and erector spinae plane block for pain management following thoracoscopic surgery. Pain Medicine, 21(6), 1248-1254. https://dx.doi.org/10.1093/pm/pnaa101
dc.identifier.doi10.1093/pm/pnaa101
dc.identifier.endpage1254
dc.identifier.issn1526-2375
dc.identifier.issn1526-4637
dc.identifier.issue6
dc.identifier.scopusqualityQ1
dc.identifier.startpage1248
dc.identifier.urihttps://dx.doi.org/10.1093/pm/pnaa101
dc.identifier.urihttps://hdl.handle.net/20.500.12511/5617
dc.identifier.volume21
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherOxford University Press
dc.relation.ispartofPain Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectErector Spinae Plane Block
dc.subjectSerratus Anterior Plane Block
dc.subjectVideo-Assisted Thoracic Surgery
dc.subjectPostoperative Analgesia
dc.titleA randomized trial to compare serratus anterior plane block and erector spinae plane block for pain management following thoracoscopic surgery
dc.typeArticle

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