Comparison of Erector Spinae Block and Combined Deep and Superficial Serratus Anterior Plane Block

Bursa Uludag University

Status: Completed

Conditions: Thoracic; Pain, Postoperative; Analgesia; Anesthesia

Treatments: Procedure: combined deep and superficial serratus anterior plane block; Procedure: erector spinae plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT06073197

2020-11/19

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 70 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anaesthesiologists (ASA) classification I-II scheduled for elective VATS

Exclusion criteria

• Patients who did not give consent
• Local anaesthetic allergy
• Known or suspected coagulopathy
• İnfection at the injection site
• History of thoracic surgery
• Severe cardiovascular disease
• Hepatic or renal insufficiency (glomerular filtration rate <15 ml/min/1.73 m2)
• Severe neurological or psychiatric disorders
• Chronic opioid use

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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70 participants in 2 patient groups

erector spinae plane block

Active Comparator group

Description:

Plane blocks implemented on preoperative course on 35 patients for group.

Treatment:

Procedure: erector spinae plane block

combined deep and superficial serratus anterior plane block

Active Comparator group

Description:

Plane blocks implemented on preoperative course on 35 patients for group.

Treatment:

Procedure: combined deep and superficial serratus anterior plane block