Postoperative Thoracic Pain Treatment: Serratus Anterior or Erector Spinae Plane Block?
| Autor: | Ayşe Ülgey, Sibel Seçkin Pehlivan, Ömer Faruk Demir |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male medicine.medical_specialty Mean arterial pressure Time Factors Adolescent Visual analogue scale Block (permutation group theory) Intercostal Muscles 03 medical and health sciences Young Adult 0302 clinical medicine 030202 anesthesiology Heart rate medicine Humans Pain Management 030212 general & internal medicine Aged Pain Measurement Retrospective Studies Bupivacaine Pain Postoperative business.industry Back Muscles Thoracoscopy Analgesia Patient-Controlled Nerve Block Middle Aged body regions Analgesics Opioid Treatment Outcome Thoracotomy Cardiothoracic surgery Anesthesia Morphine Surgery Female Intercostal Nerves Cardiology and Cardiovascular Medicine business Block techniques medicine.drug |
| Zdroj: | The Thoracic and cardiovascular surgeon. 69(6) |
| ISSN: | 1439-1902 |
| Popis: | Background Thoracic surgery is one of the most painful surgeries. Effective analgesia is important in postoperative pain management. In this study, we aimed to compare the two new fascial block techniques. Methods A total of 107 patients who underwent thoracic surgery between October 2018 and November 2019 were retrospectively evaluated. The study included 59 patients in the serratus anterior plane block (SAPB) group and 48 patients in the erector spinae plane block (ESPB) group. Both groups were administered 30 mL of 0.25% bupivacaine and their morphine consumption was evaluated by a patient-controlled analgesia (PCA) method during the 2nd, 6th, 12th, 24th, and 48th postoperative hours. Pain was measured with the visual analog scale (VAS). Intraoperative mean arterial pressure (MAP) and heart rate (HR) were recorded. Results During the first 24 hours, VAS values were significantly lower in the ESPB group (p Conclusion ESPB was more effective compared with SAPB in postoperative thoracic pain management. |
| Databáze: | OpenAIRE |
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