JOPIC
Journal of Pulmonology and Intensive Care

The JoPIC is an independent-unbiased, peer-reviewed, and open-access journal of current national and international issues and reviews for original clinical and experimental research, interesting case reports, surgical techniques, differential diagnoses, editorial opinions, letters to the editor, and educational papers in pulmonology, thoracic surgery, occupational diseases, allergology, and intensive care medicine. This journal is indexed by indices that are considered international scientific journal indices (DRJI, ESJI, OAJI, etc.). According to the current Associate Professorship criteria, it is within the scope of International Article 1-d. Each article published in this journal corresponds to 5 points.

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Original Article
The effect of deep and superficial serratus anterior plane block on postoperative acute pain for thoracoscopic surgery patients; a prospective randomized trial
Abstract
Aims: In recent years, video-assisted thoracoscopic surgery (VATS) is increasingly preferred over open thoracotomy. Serratus anterior plane block (SAPB) is the preferred analgesic technique in VATS interventions. This study, it was aimed to compare the postoperative analgesic efficacy of superficial SAPB (SSAPB) and deep SAPB (DSAPB) in patients undergoing lung resection with VATS.
Methods: The study was conducted with a prospective, randomized, single-blind design. The ethics committee approval was obtained for the study. The patients, in the age range of 18 to 65 years, with the American Society of Anesthesiologists (ASA) physical status of I-III, and body mass index (BMI) of 18-30 kg/m2, and undergoing lung resection with VATS were included in the study. Patients were informed about the study, and their written consent was obtained. Patients were assigned to DSAPB (Group 1) and SSAPB (Group 2) groups according to the analgesia protocol.
Results: After obtaining ethical committee approval, 60 patients were included in the study. Eight patients who converted from VATS to thoracotomy were excluded from the study. There was no statistically significant difference between the groups in terms of demographic characteristics, surgical features, side effects, morphine consumption, and additional analgesic use (p > 0.05). When the groups were evaluated in terms of the duration of the block procedure, it was found to be statistically significantly longer in the SSAPB group than in the DSAPB group (p < 0.001).
Conclusion: Both DSAPB and SSAPB were effective and had similar analgesic actions. The shorter block procedure time in DSAPB may be an advantage when considering similar analgesic effects.

Keywords : Acute pain, deep serratus anterior plane block, superficial serratus anterior plane block, video-assisted thoracoscopic surgery

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Article available in :
Volume 1, Issue 2, 2023
Page : 23-27
https://doi.org/10.51271/JOPIC-0006
Article Information
Received : 28 Mar 2023
Accepted : 05 Nis 2023
Published : 22 May 2023
Corresponding Author :

Musa Zengin: Department of Anesthesiology and Reanimation, Ankara Etlik City Hospital, Ankara, Turkiye

[email protected]
Citation : Zengin M, Sazak H, Kaybal O, et al. The effect of deep and superficial serratus anterior plane block on postoperative acute pain for thoracoscopic surgery patients; a prospective randomized trial. J Pulmonol Intens Care. 2023;1(2):23-27.

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