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Comparison of the Analgesic Efficacy of Serratus Anterior Plane Block and Serratus Posterior Superior Intercostal Plane Block in Patients Undergoing Video-Assisted Thoracoscopic Surgery Introduction and Objective: The aim of this study is to compare the postoperative analgesic efficacy of the serratus anterior plane block and serratus posterior superior intercostal plane block performed under ultrasonography guidance in patients undergoing video-assisted thoracoscopic surgery.
Patients with ASA grades I-III, aged 18-65, will be included in the study. Standard general anesthesia will be administered to the patients. Postoperative analgesia evaluation will be conducted using VAS and NRS scores at specific time points after surgery Additional analgesic requirements and patient satisfaction will be recorded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SERRATUS ANTERİOR PLANE BLOCK | Experimental | Participants received an ultrasound-guieded serratus anterior plane block (SAPB) |
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| SERRATUS POSTERİOR SUPERİOR İNTERCOSTAL PLANE BLOCK | Experimental | Participants received an ultrasound-guided serratus posterior superior intercostal plane block (SPSIPB) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound guided serratus anterior plane block | Procedure | Ultrasound-guided serratus anterior plane block was performed at the 4th intercostal level in the mid-axillary line using an in plane technique. A total of 30 ml of %0.5 bupivacaine was injected into the fascial plane between the latissumus dorsi and serratus anterior muscles (unilateral) |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain intensity | Postoperative pain intensity was assessed using the Visual Analog Scale (VAS) where 0 indicates no pain and 10 indicates the worst imaginable pain | At postoperative 30 minute and 1, 4, 8, 12, 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain intensity assessed by Numeric Rating Scale (NRS) | Postoperative pain intensity will be assessed using the Numeric Rating Scale (NRS), ranging from 0 (no pain) to 10 (worst pain imaginable) | 30 minutes, 1, 4, 8, 12, 24 hours after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Health Siences Gazi Yasargil Training and Research Hospital | Diyarbakır | Kayapınar | 21100 | Turkey (Türkiye) |
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| Ultrasound guided serratus posterior superior intercostal plane block | Procedure | Ultrasound-guided serratus posterior superior intercostal plane block was performed using an in plane technique. A total of 30 ml of %0.5 bupivacaine was injected into the fascial plane between the serratus posterior superior and intercostal muscles at the 3rd rib level via a posterior approach (unilateral) |
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| ID | Term |
|---|---|
| D000377 | Agnosia |
| 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 |
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