Comparison of erector spinae plane block and serratus anterior plane block for pain management in thoracoscopic surgery

Barış Demirci; İlknur Hatice Akbudak; Seher İlhan; Aslı Mete Yıldız

Makale detayları

Comparison of erector spinae plane block and serratus anterior plane block for pain management in thoracoscopic surgery

Yazarlar:

Barış Demirci | İlknur Hatice Akbudak | Seher İlhan | Aslı Mete Yıldız

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Göğüs Cerrahisi | Anesteziyoloji

Dergi:

Journal of Health Sciences and Medicine Vol.8 Issue 4, pp.629-634

Belge Tipi:

Makale

Yayın Tarihi:

7/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001355838

pISSN:

2636-8579

Anahtar kelimeler:

Özet:

 Aims: This study was designed to compare the efficacy and safety of erector spinae plane block and serratus anterior plane block in VATS video assisted thoracoscopic surgery patients. Methods: This prospective, single-blinded, randomized controlled trial included fifty patients aged 18 to 70 years, classified as American Society of Anesthesiologists ASA physical status I-III, who were scheduled to undergo elective video-assisted thoracoscopic surgery VATS between February 2022 and February 2023. Patients were randomly assigned to receive either an erector spinae plane block ESPB or a serratus anterior plane block SAPB. In the ESPB group, a catheter was inserted at the T5 vertebral level, and 30 ml of 0.25 bupivacaine was administered. In the SAPB group, the catheter was placed into the superficial fascia overlying the serratus anterior muscle at the level of the fifth rib, and the same volume and concentration of local anesthetic was used. Postoperatively, when the Numeric Rating Scale NRS pain score was 3, a patient-controlled analgesia PCA device delivering 0.125 bupivacaine was connected to the catheter, and continuous infusion was initiated. Intraoperative fentanyl consumption, time to PCA connection, NRS scores, and postoperative morphine use were recorded. Data were analyzed using R version 4.0.0. Appropriate parametric or non-parametric tests were used based on data distribution. Repeated measures were evaluated with the Friedman test, and a p-value 0.05 was considered statistically significant. Results: Intraoperative fentanyl consumption was significantly lower in the ESPB group p0.05. There was no significant difference between the groups in time to PCA connection, NRS scores, or postoperative morphine use p0.05. NRS scores decreased over time in both groups. No complications occurred. Conclusion: ESPB is superior for intraoperative analgesia, while both blocks are equally effective for postoperative pain management.

 Aims: This study was designed to compare the efficacy and safety of erector spinae plane block and serratus anterior plane block in VATS video assisted thoracoscopic surgery patients. Methods: This prospective, single-blinded, randomized controlled trial included fifty patients aged 18 to 70 years, classified as American Society of Anesthesiologists ASA physical status I-III, who were scheduled to undergo elective video-assisted thoracoscopic surgery VATS between February 2022 and February 2023. Patients were randomly assigned to receive either an erector spinae plane block ESPB or a serratus anterior plane block SAPB. In the ESPB group, a catheter was inserted at the T5 vertebral level, and 30 ml of 0.25 bupivacaine was administered. In the SAPB group, the catheter was placed into the superficial fascia overlying the serratus anterior muscle at the level of the fifth rib, and the same volume and concentration of local anesthetic was used. Postoperatively, when the Numeric Rating Scale NRS pain score was 3, a patient-controlled analgesia PCA device delivering 0.125 bupivacaine was connected to the catheter, and continuous infusion was initiated. Intraoperative fentanyl consumption, time to PCA connection, NRS scores, and postoperative morphine use were recorded. Data were analyzed using R version 4.0.0. Appropriate parametric or non-parametric tests were used based on data distribution. Repeated measures were evaluated with the Friedman test, and a p-value 0.05 was considered statistically significant. Results: Intraoperative fentanyl consumption was significantly lower in the ESPB group p0.05. There was no significant difference between the groups in time to PCA connection, NRS scores, or postoperative morphine use p0.05. NRS scores decreased over time in both groups. No complications occurred. Conclusion: ESPB is superior for intraoperative analgesia, while both blocks are equally effective for postoperative pain management.

 Aims: This study was designed to compare the efficacy and safety of erector spinae plane block and serratus anterior plane block in VATS video assisted thoracoscopic surgery patients. Methods: This prospective, single-blinded, randomized controlled trial included fifty patients aged 18 to 70 years, classified as American Society of Anesthesiologists ASA physical status I-III, who were scheduled to undergo elective video-assisted thoracoscopic surgery VATS between February 2022 and February 2023. Patients were randomly assigned to receive either an erector spinae plane block ESPB or a serratus anterior plane block SAPB. In the ESPB group, a catheter was inserted at the T5 vertebral level, and 30 ml of 0.25 bupivacaine was administered. In the SAPB group, the catheter was placed into the superficial fascia overlying the serratus anterior muscle at the level of the fifth rib, and the same volume and concentration of local anesthetic was used. Postoperatively, when the Numeric Rating Scale NRS pain score was 3, a patient-controlled analgesia PCA device delivering 0.125 bupivacaine was connected to the catheter, and continuous infusion was initiated. Intraoperative fentanyl consumption, time to PCA connection, NRS scores, and postoperative morphine use were recorded. Data were analyzed using R version 4.0.0. Appropriate parametric or non-parametric tests were used based on data distribution. Repeated measures were evaluated with the Friedman test, and a p-value 0.05 was considered statistically significant. Results: Intraoperative fentanyl consumption was significantly lower in the ESPB group p0.05. There was no significant difference between the groups in time to PCA connection, NRS scores, or postoperative morphine use p0.05. NRS scores decreased over time in both groups. No complications occurred. Conclusion: ESPB is superior for intraoperative analgesia, while both blocks are equally effective for postoperative pain management.

 Amaç: Bu çalışma, video yardımlı torakoskopik cerrahi VATS geçiren hastalarda erector spinae plan bloğu ESPB ile serratus anterior plan bloğunun SAPB etkinliğini ve güvenliğini karşılaştırmak amacıyla tasarlanmıştır. Yöntemler: Bu prospektif, tek kör, randomize kontrollü çalışmaya Şubat 2022 ile Şubat 2023 tarihleri arasında elektif video yardımlı torakoskopik cerrahi VATS planlanan, Amerikan Anesteziyoloji Derneği ASA fiziksel durum sınıflaması IIII olan, 1870 yaş aralığındaki elli hasta dahil edildi. Hastalar rastgele olarak ESPB veya SAPB gruplarına atandı. ESPB grubuna, T5 seviyesinden bir kateter yerleştirilerek 30 ml 0,25 bupivakain uygulandı. SAPB grubuna ise serratus kasının yüzeyel fasyasına, beşinci kosta seviyesinde bir kateter yerleştirilerek aynı doz uygulandı. Postoperatif dönemde, Sayısal Ağrı Skalası NRS skoru 3 olduğunda, 0.125 bupivakain içeren hasta kontrollü analjezi PCA cihazı katetere bağlandı ve sürekli infüzyona başlandı. İntraoperatif fentanil tüketimi, PCA bağlantı süresi, NRS skorları ve postoperatif morfin kullanımı kaydedildi. Veriler R versiyon 4.0.0 ile analiz edildi. Veri dağılımına göre uygun parametrik veya non-parametrik testler kullanıldı. Tekrarlayan ölçümler Friedman testi ile değerlendirildi ve p0.05 değeri istatistiksel olarak anlamlı kabul edildi. Bulgular: İntraoperatif fentanil tüketimi ESPB grubunda anlamlı derecede daha düşüktü p0.05. PCA bağlantı süresi, NRS skorları ve postoperatif morfin kullanımı açısından gruplar arasında anlamlı fark bulunmadı p0.05. Her iki grupta da NRS skorları zamanla azaldı. Herhangi bir komplikasyon görülmedi. Sonuç: ESPB, intraoperatif analjezi açısından daha üstündür; ancak her iki blok da postoperatif ağrı yönetiminde eşit derecede etkilidir.

Makale detayları

Comparison of erector spinae plane block and serratus anterior plane block for pain management in thoracoscopic surgery

Yazarlar:

Barış Demirci | İlknur Hatice Akbudak | Seher İlhan | Aslı Mete Yıldız

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Göğüs Cerrahisi | Anesteziyoloji

Dergi:

Journal of Health Sciences and Medicine Vol.8 Issue 4, pp.629-634

Belge Tipi:

Makale

Yayın Tarihi:

7/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001355838

pISSN:

2636-8579

Video assisted thoracic surgery

postoperative pain; regional anesthesia

nerve block

erector spinae plane block

serratus anterior plane blockvideo yardımlı torasik cerrahi

postoperatif ağrı

rejyonel anestezi

sinir bloğu

Sayı

Makale detayları

Yazarlar: Barış Demirci | İlknur Hatice Akbudak | Seher İlhan | Aslı Mete Yıldız

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Göğüs Cerrahisi | Anesteziyoloji

Dergi: Journal of Health Sciences and Medicine Vol.8 Issue 4, pp.629-634

Belge Tipi: Makale

Yayın Tarihi: 7/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001355838

pISSN: 2636-8579

Sayı

Yazarlar:

Barış Demirci | İlknur Hatice Akbudak | Seher İlhan | Aslı Mete Yıldız

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Göğüs Cerrahisi | Anesteziyoloji

Dergi:

Journal of Health Sciences and Medicine Vol.8 Issue 4, pp.629-634

Belge Tipi:

Makale

Yayın Tarihi:

7/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001355838

pISSN:

2636-8579