The effect of ultrasound-guided low serratus anterior plane block on laparoscopic cholecystectomy postoperative analgesia

Abstract

Background:Anterior serratus plane block for analgesia in many procedures, but there have been no reports of analgesia undergoing laparoscopic cholecystectomy (LC). We investigated the effects of ultrasonic-guided low serratory anterior block on patients undergoing LC.Methods:One hundred patients who undergo LC were selected and randomly divided into 2 groups: Patients in group C with routine general anesthesia and patients in group S treat low anterior serratus block combined with general anesthesia. The serratus anterior block was performed at the T8 to T9 point after anesthesia induction, before cutting leather (T0), stamp card placement (T1), 2 groups of patients’ heart rate (HR), blood pressure were recorded, at the same time dosage of analgesic drugs and postoperative 0.5, 6, 12, 24 hours when resting visual analogue scale (VAS) scores were recorded in 2 groups of patients.Results:The T0 point, patients’ HR, blood pressure had significant difference (P > .05), the T1 point, patients’ HR, mean arterial pressure in group S lower than group C (P < .05), the amount of intra-operative propofol and remifentanil, patients in group S were less than in group C (P < .05), and resting VAS pain score at the 0.5, 6, 12 hours after operation patients in group S were lower than group C also (P < .05), resting VAS pain had no significant difference at postoperative 24 hours between 2 groups (P > .05).Conclusion:Low serratus anterior plane block in LC can provide safe and effective analgesia for patients.

Anesthesia Effect of Remifentanil Combined with Propofol in Laparoscopic Cholecystectomy and Its Impact on Postoperative Cognitive Recovery

“…Propofol is an ultra-short-acting intravenous anesthetic with high lipid solubility and almost insoluble in water. Due to its rapid onset of action, rapid and stable recovery of patients, with slight discomfort after recovery, it has been well-recognized in clinical practice [15]. e molecule of the new ultra-short-acting opioid, remifentanil, contains an ester bond, and its drug is mainly hydrolyzed by nonspecific esterases, resulting in the drug metabolism insusceptible to liver and kidney functions [16].…”

Effect of bilateral low serratus anterior plane block on quality of recovery after trans-subxiphoid robotic thymectomy: Results of a randomized placebo-controlled trial

“… 15 , 29 Additionally, it has been shown that the utilization of low SAP block can provide a good analgesic effect and reduce opioid consumption in liver surgery and laparoscopic cholecystectomy. 17 , 18 Thus, we speculate that the ultrasound-guided bilateral low DSAP blocks can improve the quality of recovery and provide an efficient analgesic effect for patients undergoing TRT.…”

“…Recent studies have demonstrated the good analgesic efficacy of low SAP block in laparoscopic cholecystectomy and hepatectomy. 17 , 18 However, the efficacy of bilateral low SAP blocks analgesia in the patients undergoing TRT remains unknown. Whether a relationship exists between bilateral low SAP blocks and postoperative recovery quality is still unclear.…”

The Effect of Ultrasound-Guided Low Serratus Anterior Plane Block on Analgesia and Quality of Recovery After Robot-Assisted Thymectomy via Subxiphoid Approach: Study Protocol for a Randomized Controlled Trial

“…Low SAPB (T8–T9) will be performed bilaterally on each patient by experienced anesthesiologists under ultrasound guidance after anesthesia induction. 16 The linear ultrasound transducer (8–12 MHz) will be placed over the mid-clavicular region of the thoracic cage in a sagittal plane, with the patients in the supine position. The ribs will be counted inferiorly and laterally.…”

“… 15 The application of low SAPB has been demonstrated to reduce opioid consumption and increase patient’s satisfaction with postoperative analgesia in liver surgery and laparoscopic cholecystectomy. 16 , 17 However, the efficacy of low SAPB analgesia in the patients undergoing TRT is unclear and has never been described in scientific literature.…”