Serratus Anterior Plane Block and Transthoracic Plane Block in Pectus Surgery

Başakşehir Çam & Sakura City Hospital

Status: Enrolling

Conditions: Pectus Excavatum

Treatments: Procedure: no intervention,this is a observational studies

Study type: Observational

Funder types: Other

Identifiers

NCT06436755

2024-271

Details and patient eligibility

About

The most important problem in the postoperative period in patients scheduled for pectus deformity correction surgery is pain. Due to the catastrophic neurological complications of thoracic epidural analgesia, the tendency towards plane blocks has been increasing in recent years. Serratus Plane Block (SAP Block), performed under ultrasound guidance, is used to treat pain in thoracic surgery. However, whether it has an effect on sternum pain is still controversial and there are not enough studies. Transversus thoracic plane block (TTP Block) provides effective analgesia in sternotomies. For this reason, we aimed to show that the TTP block added to the SAP block will provide more effective analgesia in order to provide adequate analgesia for the pressure and pain sensation of the bars placed on the sternum in pectus surgery.

Full description

The most important problem in the postoperative period in patients scheduled for pectus deformity correction surgery is pain. It is very important for patients to start active breathing exercises and mobilize early. Complications develop less frequently in patients who actively breathe and mobilize early. The tolerability of the surgery by the patient and the absence of pain in the postoperative period ensure early discharge . Due to the catastrophic neurological complications of thoracic epidural analgesia, the tendency towards plane blocks has been increasing in recent years. Serratus Plane Block (SAP Block), performed under ultrasound guidance, is used to treat pain in thoracic surgery. However, whether it has an effect on sternum pain is still controversial and there are not enough studies. Transversus thoracic plane block (TTP Block) provides effective analgesia in sternotomies. For this reason, we aimed to show that the TTP block added to the SAP block will provide more effective analgesia in order to provide adequate analgesia for the pressure and pain sensation of the bars placed on the sternum in pectus surgery.

Enrollment: 40 estimated patients

Sex: All

Ages: 15+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Patients who will undergo surgery due to pectus deformity All patients over the age of 15 who will be operated on due to pectus deformity

Exclusion criteria

• Known allergy to local anesthetics,
• Uncooperative patient,
• The patient who refuses to participate in the study,
• Patients under 18 years of age.

Trial design

40 participants in 2 patient groups

Serratus anterior plane block (SAP) group

Description:

Patients who underwent serratus anterior plane block

Treatment:

Procedure: no intervention,this is a observational studies

Serratus anterior plane block (SAP) and Transversus thoracic plane block (TTP) group

Description:

Patients who underwent Serratus anterior plane block (SAP) and Transversus thoracic plane block (TTP) group

Treatment:

Procedure: no intervention,this is a observational studies