Analgesic effectiveness of serratus anterior block for video-assisted thoracoscopic surgery
Gözen Öksüz1, Muhammed Sayan2
1Department of Anesthesialogy Kahramanmaraş Sütçü Imam University,Kahramanmaraş, Turkey
2Department of Chest Surgey Kahramanmaraş Sütçü Imam University,Kahramanmaraş, Turkey
BACKGROUND AND AIM: In patients which undergoing Video Assisted-Thoracoscopic Surgery (VATS) for effective analgesia, multimodal analgesia should be used. Serratus anterior plane block (SAPB) was introduced in 2013. SAPB is used in our clinic for postoperative analgesia in VATS. The aim of this study was to evaluate the postoperative pain scores and use of analgesia in patients performed with the SAPB undergoing VATS.
METHODS: After approval for the study, a total of 34 patients underwent VATS between May 2016 and June 2017 were examined retrospectively. The patients were divided into two groups. 24 patients were performed SAPB and iv PCA (intravenous patient-controlled analgesia) and 10 patient’s pain management were provided with only PCA. No block was administered to 10 patients because of anticoagulant therapy and patient refused block application. The demographic data of the patients (age, gender, operation type, and duration) were obtained from the anesthesia forms. The postoperative pain scores of the patients, evaluated with a visual analog scale (VAS) at 1, 6, 12 and 24 hours postoperatively, of analgesia doses and complications, were taken from forms.
RESULTS: The demographic characteristics of the patients and operating time were similar. VAS pain scores at 1, 6, 12 and 24 hours postoperatively and postoperative analgesic use, in 24-hour statistically significantly lower SAPB with PCA group than only PCA group. No difference was determined between groups in respect of complications.
CONCLUSIONS: SAPB is an effective and preferable analgesia method in postoperative pain management in VATS operations.
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