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Objective: The authors hypothesized that combined deep and superficial serratus anterior plane block (SAPB) is as effective as erector spinae plane block (ESPB) for intraoperative and postoperative analgesia for video-assisted thoracoscopic surgery.
Design: A prospective randomized controlled study. Participants: Adult patients undergoing elective video-assisted thoracoscopic surgery.
Interventions: Preoperative SAPB or ESPB implementation.
Plane blocks implemented on preoperative course on 35 patients for each group. Postoperative Visual Analogue Scale (VAS) scores (0-10), intraoperative and postoperative analgesic consumption was measured using Mann-Whitney test. In the postoperative phase, opioid side effects, complications related to plane blocks, mobilization time and length of hospital stay was recorded and measured.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| erector spinae plane block | Active Comparator | Plane blocks implemented on preoperative course on 35 patients for group. |
|
| combined deep and superficial serratus anterior plane block | Active Comparator | Plane blocks implemented on preoperative course on 35 patients for group. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| erector spinae plane block | Procedure | Erector spinae plane block was implemented on preoperative course on 35 patients. Intraoperative analgesic (Fentanyl) consumption was measured for intraoperative effects of the erector spinae plane block. Postoperative Visual Analogue Scale (VAS, from 0 to 10) scores and postoperative analgesic (Morphine) consumption was measured using Mann-Whitney test. |
| Measure | Description | Time Frame |
|---|---|---|
| postoperative analgesic effects | The primary outcome is compare the postoperative analgesic effects of SAPB and ESPB applied under USG guidance before surgery in patients scheduled for VATS using VAS (Visual Analogue Scale from 0 to 10). | first 48 hours |
| intraoperative analgesic effects | The primary outcome is compare the intraoperative analgesic effects of SAPB and ESPB applied under USG guidance before surgery in patients scheduled for VATS by measuring perioperative fentanyl consumption in both groups. | intraoperative phase |
| Measure | Description | Time Frame |
|---|---|---|
| side effects | The secondary aim was to compare the opioid side effects. Patients were informed about opioid side effects and asked whether side effects were present. | first 48 hours |
| complications |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| seda cansabuncu | Uludag University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bursa Uludag University | Bursa | Turkey (Türkiye) |
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randomized, controlled
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|
| combined deep and superficial serratus anterior plane block | Procedure | Combined deep and superficial serratus anterior plane block was implemented on preoperative course on 35 patients. Intraoperative analgesic (Fentanyl) consumption was measured for intraoperative effects of the erector spinae plane block Postoperative Visual Analogue Scale (VAS, from 0 to 10) scores and postoperative analgesic (Morphine) consumption was measured using Mann-Whitney test. |
|
The secondary aim was to compare the complications related to the applied block. Patients were examined and evaluated for any complications related to the block.
| first 48 hours |
| mobilization | The secondary aim was to compare the mobilization time | first 48 hours |
| stay of hospital | length of stay in the recovery unit and hospital | first 4 days |
| ID | Term |
|---|---|
| D000377 | Agnosia |
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D010146 | Pain |
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