Serratus Anterior Block for Video-assisted Thoracoscopic Surgery

Completed

• Conditions: Pain, Postoperative
• Interventions: Procedure: Serratus anterior plane block; Procedure: Patient controlled analgesia

• Registration Number: NCT03496727
• Lead Sponsor: Kahramanmaras Sutcu Imam University

Brief Summary

Ultrasound-guided SAPB is a facial plane block which maintained analgesia with blockade of lateral branches of intercostal nerves at above or below serratus plane muscle. There are few cases and studies in the literature reporting successful analgesia provided by SAPB in VATS operations. The serratus plane block is used in our clinic for postoperative analgesia in VATS operations. The aim of this study was to evaluate the postoperative pain scores and use of analgesia in patients performed with the serratus plane block in VATS operations in a

1-year period.

Detailed Description

Approval for the study was granted by the Clinical Research Ethics Committee and all procedures were carried out in accordance with the Helsinki Declaration. A retrospective examination was made of the anesthesia forms of patients underwent VATS May 2016 and June 2017. Due to incomplete data of 1 of these 35 patients, that case was excluded from the study. 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 and the postoperative doses of analgesia used were taken from the block pain follow-up forms

Study Timeline

• Study Start: 2018-02-01
• Primary Completion: 2018-03-01
• Study Completion: 2018-03-01
• Status Verified: 2018-04
• Study First Submitted: 2018-04-02
• Study First Submitted QC: 2018-04-11
• Last Update Submitted: 2018-04-11
• Study First Posted: 2018-04-12
• Last Update Posted: 2018-04-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 35

Inclusion Criteria

VATS( Video-assisted thoracoscopy) operation

a.Serratus anterior plane block b.patient controlled analgesia

Exclusion Criteria

missing data written consent

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Serratus anterior plane block	Serratus anterior plane block	Anesthesia induction was performed to all patients. At the end of the operation, patients were performed SAPB under Ultrasound guidance by the same anesthetist.For 24 hours postoperatively, tramadol was administered with patient-controlled analgesia (PCA) All patients were extubated after the operation and transferred to ICU.
Patient controlled analgesia	Patient controlled analgesia	Anesthesia induction was performed on all patients.At the end of the operation, all patients were performed with patient-controlled analgesia (PCA) All patients were extubated after the operation and transferred to ICU.

Primary Outcome Measures

Name	Time	Method
Postoperative analgesic consumption	up to 24 hour	Postoperative analgesic consumption

Secondary Outcome Measures

Name	Time	Method
Post-operative pain scores	up to 24 hour	The patient's level of pain in the postoperative period will be evaluated by the use of a 100mm Visual Analogue Scale (VAS) 1.,6.,12.,24. hour

Trial Locations

Locations (2)

Kahramanmaras Sutcu Imam University Hospital; 🇹🇷 Kahramanmaras, Turkey

KahramanmarasSIU; 🇹🇷 Kahramanmaraş, Turkey