Superficial Serratus Anterior Plane Block for Minimal Invasive Cardiac Surgery: a single-center randomized controlled trial

Acta Anaesthesiologica Belgica, Journal Year: 2024, Volume and Issue: 75(2), P. 107 - 115

Published: May 1, 2024

Introduction: Multimodal pain management with serratus anterior plane block (SAPB) in minimal invasive cardiac surgery (MICS) may potentially reduce scores and opioid consumption. However, randomized controlled trials investigating the efficacy of a superficial SAPB are missing. Design: Monocentric, prospective, outcome-assessor blinded randomized-controlled trial performed at General Hospital Maria Middelares, Ghent, Belgium. Methods: 80 patients scheduled for mitral valve (MVS) via port-access, aortic replacement right thoracotomy (AVR-RAT) direct coronary artery bypass (MIDCAB) were to (42 patients) or routine analgesia (38 patients). In group, single-shot was 1.25 mg.kg-1 levobupivacaine 0.25% between latissimus dorsi muscle. The primary outcome static intensity measured by Numeric Rating Scale (NRS) 12 hours after extubation. Secondary outcomes NRS 2, 4, 6 24 extubation, cumulative consumption, incidence postoperative nausea vomiting (PONV), time ICU hospital length stay amount carbon dioxide arterial partial pressure (PaCO2). Results: There no treatment effect on extubation (mean difference 0.238 [95% CI: -0.70 – 1.19; p = 0.78]). other predefined timepoints nor consumption during first 48 0.10 mg -2.65 2.83; 0.911]) any secondary outcomes. Looking each surgical intervention separately, results show decrement -1.71 -2.94 -0.40; 0.021]) undergoing MIDCAB post Conclusions: our setup, could not improve compared control group receiving standard intravenous mixed patients. Subsequently, hours. benefit from this technique.

Language: Английский

Combination of pectoralis nerve block II and serratus anterior plane blocks in minimally invasive cardiac surgery. Comment on Br J Anaesth 2023; 130: 786–94

British Journal of Anaesthesia, Journal Year: 2023, Volume and Issue: 131(5), P. e154 - e155

Published: Sept. 10, 2023

Language: Английский