Research Square (Research Square),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Jan. 3, 2023
Abstract
Background
:
Serratus
anterior
plane
block
(SAPB)
was
first
proposed
in
2013
as
a
new
method
for
regional
nerve
block,
while
erector
spinae
(ESPB)
2016.
Both
techniques
can
be
used
analgesia
thoracic
and
breast
surgery,
but
the
debate
about
their
actual
effects
continues.
The
purpose
of
this
systematic
review
to
compare
analgesic
these
two
after
surgery.
Methods
We
systematically
searched
PubMed,
Embase,
Web
Science
Cochrane
Library
databases
up
August
2022.
performed
meta-analysis
clinical
randomized
controlled
trials
(RCTs)
comparing
SAPB
ESPB
on
postoperative
patients
undergoing
Results
A
total
11
RCTs
were
included.
Meta-analysis
revealed
that
compared
with
group,
group
had
significantly
reduced
24-hour
opioid
consumption
(standardized
mean
difference
[SMD]:
-0.76;
95%
confidence
interval
[CI]:
-1.29
-0.24;
P
<
0.01;
I
2
=88%).
Rest
or
movement
pain
scores
lower
at
various
time
points
postoperatively.
In
addition,
ESPB-group
intraoperative
(SMD:
-0.43;
CI:
-0.64
-0.23;
P<0.001;
=35%).
terms
use
analgesics,
prolonged
3.53;
1.62
5.44;
0.001;
=
97%).
Conclusions
Compared
SAPB,
is
more
effective
especially
BMC Anesthesiology,
Journal Year:
2023,
Volume and Issue:
23(1)
Published: Sept. 4, 2023
Abstract
Background
To
investigate
the
effects
of
body
mass
index
(BMI)
on
intensity
postoperative
pain
in
patients
who
underwent
thoracic
paravertebral
block
(TPVB)
for
analgesia
after
video-assissted
thoracoscopic
surgery
(VATS).
Methods
Patients
aged
18–80
years,
ASA
I-III,
and
BMI
18–40
kg/m
2
elective
VATS
were
included
study.
The
divided
into
3
groups
according
to
their
levels.
TPVB
was
performed
under
ultrasound-guidance
at
fifth
vertebrae,
30
ml
0.25%
bupivacaine
injected.
patient-controlled
(PCA)
by
using
morphine
multimodal
performed.
As
a
rescue
analgesic
agent,
0.5
mg/kg
tramadol
given
intravenously
when
score
visual
analog
scale
(VAS)
rest
≥
4.
primary
outcome
determined
as
VAS
scores
cough.
Secondary
outcomes
consumption,
additional
requirement,
side
effects.
Results
post-hoc
test
revealed
that
resting
4
th
hour
(p:
0.007),
12
0.014),
48
0.002)
statistically
significantly
lower
Group
I
compared
II.
Additionally,
also
III
all
time
points
(p
<
0.05).
Similarly,
indicated
coughing
0.023),
0.011),
0.019)
Moreover,
0.001).
Furthermore,
there
significant
differences
terms
use
between
difference
consumption
via
PCA
milligram
equivalent
Conclusions
Higher
with
applied
obese
consequent
increase
analgesics
complications
require
more
specific
management
this
patient
group.
BMC Anesthesiology,
Journal Year:
2024,
Volume and Issue:
24(1)
Published: Aug. 5, 2024
Severe
pain
occurs
after
cardiac
surgery
in
the
sternum
and
chest
tubes
sites.
Although
analgesia
targeting
is
often
prioritized,
of
drain
site
sometimes
overlooked.
This
study
patients
undergoing
coronary
artery
bypass
grafting
(CABG)
aimed
to
provide
optimized
for
both
area
by
combining
parasternal
block
(PSB)
serratus
anterior
plane
(SAPB).
Ethics
committee
approval
(E.Kurul-E2-24-6176,
07/02/2024)
was
received
study.
Then,
trial
registered
on
www.clinicaltrials.gov
(
https://clinicaltrials.gov/
)
under
identifier
NCT05427955
17/03/2024.
Twenty
between
ages
18–80,
with
ASA
physical
status
classification
II-III,
CABG
sternotomy,
were
included.
While
general
anesthesia,
PSB
performed
through
second
fourth
intercostal
spaces,
SAPB
over
sixth
rib.
The
primary
outcome
VAS
(Visual
Analog
Scale)
during
first
12
h
extubation.
secondary
outcomes
intraoperative
remifentanil
consumption
block-related
side
effects.
average
age
64
years.
Five
female,
15
male.
For
area,
only
one
patient
had
resting
scores
4,
while
other
below
4.
two
4
or
above,
patients'
averaged
2.05
mg.
No
effects
related
analgesic
protocol
observed
any
patients.
In
this
preliminary
where
combined
CABG,
effective
achieved
area.
Journal of Pain Research,
Journal Year:
2022,
Volume and Issue:
Volume 15, P. 2351 - 2361
Published: Aug. 1, 2022
Purpose:
Thoracic
paravertebral
block
(TPVB)
is
a
recommended
regional
analgesia
during
video-assisted
thoracoscopic
surgery
(VATS).
However,
single-injection
TPVB
does
not
last
long
enough
to
provide
sufficient
acute
postoperative
pain
relief.
Continuous
through
catheter
technically
challenging
and
often
unreliable.
Intravenous
dexamethasone
extends
the
analgesic
duration
with
some
peripheral
nerve
blocks.
data
on
effect
of
intravenous
relief
are
limited.
This
study
aimed
assess
efficacy
in
patients
who
received
for
VATS.
Patients
Methods:
In
this
multicenter
prospective
randomized
controlled
trial,
we
recruited
aged
between
18
80
years
American
Society
Anesthesiologists
physical
status
class
1–
3
underwent
elective
under
general
anesthesia
randomly
8
mg
(group
D)
or
normal
saline
C).
Ultrasound-guided
(USG-TPVB)
was
performed
at
T4–T5
T6-T7
spaces.
Multimodal
achieved
via
paracetamol,
tramadol
morphine
both
groups.
The
primary
outcome
time
first
requirement.
Postoperative
terms
numeric
rating
score
(NRS),
total
consumption
nausea
vomiting
(PONV)
were
assessed.
Results:
After
excluding
one
patient,
59
analyzed.
There
no
intergroup
differences
baseline
characteristics.
requirement
longer
group
D
(305
[240,
510]
minutes)
than
C
(270
[180,
300]
(
P
value
=
0.02).
NRS
rest
movement
lower
12
hours
but
did
differ
other
points.
significantly
6,12,24
48
hours.
Incidences
PONV
comparable
Conclusion:
dexamethasone,
used
as
an
adjunct
USG-TPVB
prolonged
duration,
had
opioid-sparing
provided
better
after
Keywords:
thoracic
block,
pain,
Anatolian Current Medical Journal,
Journal Year:
2024,
Volume and Issue:
6(2), P. 127 - 132
Published: March 8, 2024
Aims:
Acute
poststernotomy
pain
is
very
severe
and
causes
adverse
hemodynamic
disturbances.
Various
thoracic
fascial
plane
blocks
are
used
in
the
management
of
this
pain.
This
study
aimed
to
compare
analgesic
effects
conventional
methods
treatment
post-sternotomy
pain.
Methods:
Patients
aged
over
than
18
years
with
American
Society
Anesthesiologists
(ASA)
physical
status
I-II-III
who
underwent
elective
cardiac
surgery
sternotomy
2022-2023
were
included
retrospective
study.
Patient
records
categorized
into
groups
based
on
regional
analgesia
preferences
applied.
The
as
follows:
Group
I:
without
any
blocks.
II:
received
parasternal
block
(PSB).
III:
serratus
anterior
(SAPB).
IV:
erector
spinae
(ESPB).
Then,
patients’
demographic
data,
laboratory
Behavioral
Pain
Score
(BPS)
values,
Visual
Analog
Scale
(VAS)
additional
needs
recorded
compared.
Results:
files
128
patients
statistically
similar
terms
data
surgical
characteristics.
Remifentanil
consumption,
BPS
VAS
need
for
lower
which
applied
compared
group
was
applied.
Conclusion:
As
a
result,
blocks,
have
been
increasingly
frequently
recent
years,
can
provide
more
effective
surgery.
Additionally,
considering
enhanced
recovery
after
protocols,
these
may
reduce
undesirable
side
by
limiting
opioids
perioperative
period.
Since
PSB
SAPB
be
supine
position,
they
advantageous
ESPB
ease
application.
Turkish Journal of Thoracic and Cardiovascular Surgery,
Journal Year:
2024,
Volume and Issue:
32(4), P. 419 - 435
Published: Oct. 1, 2024
Background:
The
study
aimed
to
compare
the
analgesic
efficacy
of
single-shot
serratus
anterior
plane
block
(SAPB)
for
video-assisted
thoracoscopic
surgery
(VATS)
with
other
regional
techniques.
Methods:
In
this
meta-analysis,
randomized
controlled
trials
published
in
PubMed,
Scopus,
Web
Science,
ClinicalKey,
and
PROSPERO
electronic
databases
between
March
24,
2014
2024
comparing
SABP
blocks
adult
patients
undergoing
VATS
were
reviewed.
Results:
Nine
consisting
a
total
537
participants
(287
males,
250
females;
mean
age:
55.2±13.1
years)
included
meta-analysis.
Serratus
was
compared
erector
spinae
(ESPB),
local
infiltration
anesthesia
(LIA),
thoracic
paravertebral
(TPVB).
postoperative
24-h
cumulative
opioid
consumption
statistically
significantly
higher
SAPB
than
ESPB
(standardized
difference
[SMD]=1.98;
95%
confidence
interval
[CI],
0.23
3.73;
Z=2.22;
p=0.03;
I
2
=97%;
random
effects
model)
TPVB
(SMD=0.63;
CI,
0.31
0.96;
Z=3.84;
p<0.001;
=0%;
fixed
lower
LIA
(SMD=–1.77;
–2.24
–1.30;
Z=7.41;
model).
Active
pain
scores
h
postoperatively
(SMD=–2.90;
–5.29
–0.50;
Z=2.37;
p=0.02;
=93%;
random-effects
At
12
postoperatively,
both
passive
(SMD=0.37;
0.07
0.66;
Z=2.41;
active
(SMD=0.55;
0.25
0.85;
Z=3.60;
ESBP
SAPB.
There
no
groups
terms
incidence
nausea
vomiting.
Conclusion:
After
comprehensive
evaluation
effects,
it
appears
that
may
be
better
SABP,
analgesia
VATS.
Further
studies
are
required
determine
optimal
technique
Current Opinion in Anaesthesiology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Dec. 6, 2024
Purpose
of
review
Although
there
are
a
lot
studies
examining
the
effects
different
blocks
for
postoperative
analgesia
after
video-assisted
thoracic
surgery
(VATS),
results
controversial.
Recent
findings
Paravertebral
block,
serratus
anterior
plane
block
and
erector
spinae
appear
to
be
effective
beneficial
post-VATS
analgesia,
but
probably
in
manners.
Summary
All
three
can
suggested
daily
practice,
choice
should
based
on
personal
experience
preference
anesthetist.
Better
required
objective
decision.
Journal of Health Sciences and Medicine,
Journal Year:
2023,
Volume and Issue:
6(1), P. 18 - 24
Published: Jan. 9, 2023
Aim:
Ultrasound-guided
plane
blocks
have
been
employed
frequently
in
Video-assisted
thoracoscopic
surgery
(VATS).
The
aim
of
this
study
was
to
evaluate
the
effect
deep
and
combined
serratus
anterior
block
(SAPB)
after
VATS.Material
Method:
patients,
age
range
18
65
years,
with
American
Society
Anesthesiologists
(ASA)
physical
status
I-III,
body
mass
index
(BMI)
18-30
kg/m2,
undergoing
lung
resection
VATS
were
included
study.
Patients
informed
about
study,
their
written
consent
obtained.
divided
into
Deep
SAPB
(DSAPB)
(Group
1)
(CSAPB)
2)
groups
according
analgesia
protocol.Results:
There
no
statistically
significant
difference
between
terms
demographic
characteristics
surgical
features
(p>0.05).
When
evaluated
performance
time,
it
found
be
significantly
longer
CSAPB
group
than
DSAPB
(p<0.001).
VAS
resting
scores,
1st,
2nd,
4th,
8th,
16th,
24th,
48th-hour
results
higher
(p<0.05).
cough
scores
at
side
effects,
additional
analgesic
use,
morphine
consumption,
they
(p:
0.026,
p:
0.020,
p<0.001,
respectively).Conclusion:
provided
effective
for
48
hours.
In
addition,
consumption
need
analgesics
low
CSAPB.
However,
duration
procedure
application.
Research Square (Research Square),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Jan. 3, 2023
Abstract
Background
:
Serratus
anterior
plane
block
(SAPB)
was
first
proposed
in
2013
as
a
new
method
for
regional
nerve
block,
while
erector
spinae
(ESPB)
2016.
Both
techniques
can
be
used
analgesia
thoracic
and
breast
surgery,
but
the
debate
about
their
actual
effects
continues.
The
purpose
of
this
systematic
review
to
compare
analgesic
these
two
after
surgery.
Methods
We
systematically
searched
PubMed,
Embase,
Web
Science
Cochrane
Library
databases
up
August
2022.
performed
meta-analysis
clinical
randomized
controlled
trials
(RCTs)
comparing
SAPB
ESPB
on
postoperative
patients
undergoing
Results
A
total
11
RCTs
were
included.
Meta-analysis
revealed
that
compared
with
group,
group
had
significantly
reduced
24-hour
opioid
consumption
(standardized
mean
difference
[SMD]:
-0.76;
95%
confidence
interval
[CI]:
-1.29
-0.24;
P
<
0.01;
I
2
=88%).
Rest
or
movement
pain
scores
lower
at
various
time
points
postoperatively.
In
addition,
ESPB-group
intraoperative
(SMD:
-0.43;
CI:
-0.64
-0.23;
P<0.001;
=35%).
terms
use
analgesics,
prolonged
3.53;
1.62
5.44;
0.001;
=
97%).
Conclusions
Compared
SAPB,
is
more
effective
especially
