Efficacy of serratus posterior superior intercostal plane block (SPSIPB) on post-operative pain and total analgesic consumption in patients undergoing video-assisted thoracoscopic surgery (VATS): A double-blinded randomised controlled trial

dc.authoridBALCI, FATIH/0000-0002-9005-6758
dc.authoridAvci, Onur/0000-0003-0743-754X
dc.authoridGundogdu, Oguz/0000-0002-8864-0015
dc.authoridTekcan, Muhammed Nail/0009-0005-6245-3608
dc.contributor.authorAvci, Onur
dc.contributor.authorGundogdu, Oguz
dc.contributor.authorBalci, Fatih
dc.contributor.authorTekcan, Muhammed N.
dc.contributor.authorOzbey, Mahmut
dc.date.accessioned2024-10-26T18:04:04Z
dc.date.available2024-10-26T18:04:04Z
dc.date.issued2023
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractBackground and Aims: Serratus posterior superior intercostal plane block (SPSIPB) is a novel technique that can provide analgesia in the hemithorax, shoulder, and back of the neck. This study aimed to evaluate the post-operative analgesic effect of SPSIPB in patients undergoing video-assisted thoracoscopic surgery (VATS). Methods: It is a double-blind, randomised controlled trial. Twenty-four adult patients who underwent VATS via the uniportal technique were randomised into two groups: the SPSIPB group (n = 12) received SPSIPB along with intravenous patient-controlled analgesia (PCA) with tramadol, whereas the control group (n = 12) received only PCA with tramadol. At the end of the surgery, patients in the SPSIPB group received a unilateral SPSIPB under ultrasound guidance with the use of 30-mL bupivacaine 0.25%. The primary outcome was the numerical rating scale (NRS) scores of the patients. Secondary outcomes included the amount of tramadol and rescue analgesic (paracetamol) consumed by the patients, followed up for post-operative 24 hours. Categorical variables were compared using the Chi-Square Test. Mann-Whitney U Test was used to compare groups of variables that were not normally distributed.Results: The SPSIPB group had lower NRS values during post-operative 24 hours (P < 0.001). Mean (standard deviation) total tramadol consumption was 58.33 (26.23) mg in the SPSIPB group and 144.17 (13.11) mg in the control group (P < 0.001). Rescue analgesic need was lower in the SPSIP group in the first 18 post-operative hours (P < 0.05). Conclusion: Serratus posterior superior intercostal plane block provides good analgesia in the thoracic region after video-assisted thoracoscopic surgery.
dc.identifier.doi10.4103/ija.ija_589_23
dc.identifier.endpage1122
dc.identifier.issn0019-5049
dc.identifier.issn0976-2817
dc.identifier.issue12
dc.identifier.pmid38343684
dc.identifier.scopus2-s2.0-85180352355
dc.identifier.scopusqualityQ1
dc.identifier.startpage1116
dc.identifier.urihttps://doi.org/10.4103/ija.ija_589_23
dc.identifier.urihttps://hdl.handle.net/20.500.12418/28735
dc.identifier.volume67
dc.identifier.wosWOS:001125375400020
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWolters Kluwer Medknow Publications
dc.relation.ispartofIndian Journal of Anaesthesia
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAcetaminophen
dc.subjectbupivacaine
dc.subjectfacial plane block
dc.subjectopioid
dc.subjectpain
dc.subjectpatient-controlled analgesia
dc.subjectserratus posterior superior intercostal plane block
dc.subjecttramadol
dc.titleEfficacy of serratus posterior superior intercostal plane block (SPSIPB) on post-operative pain and total analgesic consumption in patients undergoing video-assisted thoracoscopic surgery (VATS): A double-blinded randomised controlled trial
dc.typeArticle

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