Serratus Anterior Plane Block versus Erector Spinae Plane Block for Thoracoscopic Surgery: Response to Sun et al

Ekinci, Mine; Çiftçi, Bahadır; Gölboyu, Birzat Emre; Demiraran, Yavuz; Bayrak, Yusuf; Tulgar, Serkan

doi:10.1093/pm/pnac004

Cited by 2 publications

(4 citation statements)

References 9 publications

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“…Similarly, Ekinci et al (13) , have demonstrated that, no significant difference was recorded among both groups regarding all adverse events.…”

Section: Discussionmentioning

confidence: 81%

“…Moreover, Ekinci et al (13) , have said that the static/dynamic VAS scores were consistently considerably lower in the ESPB group as compared to the SAPB group when reporting the visual analogue scale (VAS) data in the results section. At hour 4, there was no discernible difference between the two groups' static VAS scores (P >0.05), nevertheless.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, several investigations have shown that following a thoracotomy and video-assisted thoracoscopy, ESPB had better analgesia than SAPB (13) .…”

Section: Discussionmentioning

confidence: 99%

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A Comparative Study of Analgesic Effect of Ultrasound Guided Erector Spinae Plane Block Versus Serratus Anterior Plane Block for Thoracoscopic Sympathectomy Surgeries

Abd-Allah¹,

Diab²,

Abozeid³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: In the realm of thoracic surgery, video-assisted thoracoscopic surgery (VATS) is a well-established minimally invasive approach. The objective of the current study is to compare the analgesic effects of erector spinae plane blocks guided by ultrasound vs serratus anterior plane blocks guided by ultrasound in patients undergoing thoracoscopic sympathectomy for palmer hyperhidrosis. Patients and methods: A total of 110 patients, aged between 21 and 40 years old planed for sympathectomy, were randomly allocated into 55 patients who were subjected to erector spinae plane block (ESPB) and 55 patients who were subjected to serratus anterior plane block (SAPB). All patients with VAS more than 30 were received i.v. ketorolac 30 mg every 8 hours. Up to the end of the first 24 hours following surgery, the total amount of fentanyl and paracetamol used was tracked, along with the length of analgesia, the occurrence of side effects during the first 24 hours following surgery, and the patient satisfaction score after 12 and 24 hours. Result: The total analgesic (fentanyl) consumption in 24 h was significantly lower in ESPB group compared with SAPB group. Significantly lower VAS was observed with ESPB. Significantly longer time for the first request to rescue analgesia was recorded with ESPB. Significantly longer time of block performance was observed in ESPB group. Significantly delayed onset of sensory block and less number of fentanyle doses were recorded in ESPB group. No significant difference between ESPB and SAPB as regards to patient satisfaction score and side effects. Conclusion: ESPB shows superior analgesic effect to SAPB in sympathectomy surgeries

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“…Similarly, Ekinci et al (13) , have demonstrated that, no significant difference was recorded among both groups regarding all adverse events.…”

Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

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A Comparative Study of Analgesic Effect of Ultrasound Guided Erector Spinae Plane Block Versus Serratus Anterior Plane Block for Thoracoscopic Sympathectomy Surgeries

Abd-Allah¹,

Diab²,

Abozeid³

et al. 2022

The Egyptian Journal of Hospital Medicine

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“…Therefore, an effective anesthesia program to reduce postoperative pain is of great significance for the prognosis of patients. SAP block refers to the injection of local anesthesia drugs into the anterior sersaw muscle to block the nerve in order to achieve chest wall analgesia[ 20 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided serratus anterior plane block enhances postoperative analgesia and recovery in thoracoscopic surgery

Zhang,

Wang,

et al. 2024

World J Clin Cases

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BACKGROUND The serratus anterior muscle, located in the lateral aspect of the thorax, plays a crucial role in shoulder movement and stability. Thoracoscopic surgery, while minimally invasive, often results in significant postoperative pain, complicating patient recovery and potentially extending hospital stays. Traditional anesthesia methods may not adequately address this pain, leading to increased complications such as agitation due to inadequate pain management. AIM To evaluate the application value of ultrasound-guided serratus anterior plane block (SAPB) in patients undergoing thoracoscopic surgery, focusing on its effects on postoperative analgesia and rehabilitation. METHODS Eighty patients undergoing thoracoscopic surgery between August 2021 and December 2022 were randomly divided into two groups: An observation group receiving ultrasound-guided SAPB and a control group receiving standard care without SAPB. Both groups underwent general anesthesia and were monitored for blood pressure, heart rate (HR), oxygen saturation, and pulse. The primary outcomes measured included mean arterial pressure (MAP), HR, postoperative visual analogue scale (VAS) scores for pain, supplemental analgesic use, and incidence of agitation. RESULTS The observation group showed significantly lower cortisol and glucose concentrations at various time points post-operation compared to the control group, indicating reduced stress responses. Moreover, MAP and HR levels were lower in the observation group during and after surgery. VAS scores were significantly lower in the observation group at 1 h, 4 h, 6 h, and 12 h post-surgery, and the rates of analgesic supplementation and agitation were significantly reduced compared to the control group. CONCLUSION Ultrasound-guided SAPB significantly improves postoperative analgesia and reduces agitation in patients undergoing thoracoscopic surgery. This technique stabilizes perioperative vital signs, decreases the need for supplemental analgesics, and minimizes postoperative pain and stress responses, underscoring its high application value in enhancing patient recovery and rehabilitation post-thoracoscopy.

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Serratus Anterior Plane Block versus Erector Spinae Plane Block for Thoracoscopic Surgery: Response to Sun et al

Cited by 2 publications

References 9 publications

A Comparative Study of Analgesic Effect of Ultrasound Guided Erector Spinae Plane Block Versus Serratus Anterior Plane Block for Thoracoscopic Sympathectomy Surgeries

A Comparative Study of Analgesic Effect of Ultrasound Guided Erector Spinae Plane Block Versus Serratus Anterior Plane Block for Thoracoscopic Sympathectomy Surgeries

Ultrasound-guided serratus anterior plane block enhances postoperative analgesia and recovery in thoracoscopic surgery

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