Comparison of Superficial+Deep Vs. Deep Serratus Anterior Plan Block in Video-Assisted Thoracic Surgery

Comparison of Combined Superficial and Deep Serratus Anterior Plan Block Versus Deep Serratus Anterior Plan Block for Postoperative Pain Control in Video-Assisted Thoracic Surgery

Thoracotomy is one of the most painful surgeries; Video-assisted thoracoscopic surgery (VATS) has been developed to reduce the surgical stress of thoracotomy. However, patients may experience moderate to severe pain within the first 24 hours after VATS. Intravenous opioids are frequently used to provide postoperative analgesia, and accordingly, side effects such as postoperative nausea/vomiting and respiratory depression can be seen.

The aim of this study is to compare Superficial+Deep Vs. Deep Serratus Anterior Plan Block for postoperative pain control in VATS cases.

Inclusion Criteria:

1. American Society of Anesthesiologist's physiologic state I-III patients
2. To undergo Video Assisted Thoracic Surgery
3. Being between the ages of 18-65 years

Exclusion Criteria:

• having a known heart, kidney, liver or hematological disease
• having a history of peptic ulcer, gastrointestinal bleeding, allergy, chronic pain
• Routine analgesic use and history of analgesic use in the last 24 hours
• Not willingto participate in the study
• Uncooperative patients who have coagulopathy or use anticoagulant drugs
• To be allergic to one of the drugs to be used
• Contraindication for Video Assisted Thoracic Surgery