Analgesic Effect of Serratus Anterior Plane Block After Thoracoscopic Surgery: A Randomized Controlled Double-Blinded Study

Li Hua Shang, Zhen Nan Xiao, Ya Li Zhao, Bo Long Department of Anesthesiology, Shengjing Hospital of China Medical University, Shenyang 110004, People’s Republic of ChinaCorrespondence: Bo LongDepartment of Anesthesiology, Shengjing Hospital of China Medical University, Shenyang 110004, Pe...

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Autores principales:	Shang LH, Xiao ZN, Zhao YL, Long B
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	fast-track surgery video-assisted thoracic surgery serratus anterior plane block analgesia clinical anesthesia randomized clinical trial Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/9a86bd551728410f90d1f9a9d12f66d8
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spelling	oai:doaj.org-article:9a86bd551728410f90d1f9a9d12f66d82021-12-02T12:03:08ZAnalgesic Effect of Serratus Anterior Plane Block After Thoracoscopic Surgery: A Randomized Controlled Double-Blinded Study1178-203Xhttps://doaj.org/article/9a86bd551728410f90d1f9a9d12f66d82020-12-01T00:00:00Zhttps://www.dovepress.com/analgesic-effect-of-serratus-anterior-plane-block-after-thoracoscopic--peer-reviewed-article-TCRMhttps://doaj.org/toc/1178-203XLi Hua Shang, Zhen Nan Xiao, Ya Li Zhao, Bo Long Department of Anesthesiology, Shengjing Hospital of China Medical University, Shenyang 110004, People’s Republic of ChinaCorrespondence: Bo LongDepartment of Anesthesiology, Shengjing Hospital of China Medical University, Shenyang 110004, People’s Republic of ChinaTel +86-18940259927Email longbo_27@163.comPurpose: Fast-track surgery is a developing trend in medical care. It is a core challenge for clinical anesthesia to reasonably reduce the dosage of opioids and relieve postoperative pain. Serratus anterior plane block (SAPB) is a novel analgesic technique with such advantages as easy operation, good safety, and few side effects.Patients and Methods: In total, 60 patients aged 18 to 65 years who were diagnosed with lung cancer and scheduled for thoracoscopic resection were randomly assigned to receive SABP or local infiltration anesthesia. We analyzed the time within 48 hrs after operation to visual analogue scale (VAS) pain score of 4 or higher and the number of patients requiring additional analgesics at 6 hrs and 12 hrs after operation.Results: The estimated median time to VAS ≥ 4 was 4 hrs (1.32 to 6.68) in the control group and 11 hrs (6.71 to 15.29) in the SAPB group (log-rank test: P=0.008). The number of patients requiring additional analgesics at 6- and 12 hrs after operation was significantly lower in the SAPB group than that in the control group (P< 0.05).Conclusion: Compared with local infiltration, SAPB provided extended postoperative analgesia after thoracoscopic surgery with reduced consumption of additional analgesics in the early postoperative stage.Keywords: fast-track surgery, video-assisted thoracic surgery, serratus anterior plane block, analgesia, clinical anesthesia, randomized clinical trialShang LHXiao ZNZhao YLLong BDove Medical Pressarticlefast-track surgeryvideo-assisted thoracic surgeryserratus anterior plane blockanalgesiaclinical anesthesiarandomized clinical trialTherapeutics. PharmacologyRM1-950ENTherapeutics and Clinical Risk Management, Vol Volume 16, Pp 1257-1265 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	fast-track surgery video-assisted thoracic surgery serratus anterior plane block analgesia clinical anesthesia randomized clinical trial Therapeutics. Pharmacology RM1-950
spellingShingle	fast-track surgery video-assisted thoracic surgery serratus anterior plane block analgesia clinical anesthesia randomized clinical trial Therapeutics. Pharmacology RM1-950 Shang LH Xiao ZN Zhao YL Long B Analgesic Effect of Serratus Anterior Plane Block After Thoracoscopic Surgery: A Randomized Controlled Double-Blinded Study
description	Li Hua Shang, Zhen Nan Xiao, Ya Li Zhao, Bo Long Department of Anesthesiology, Shengjing Hospital of China Medical University, Shenyang 110004, People’s Republic of ChinaCorrespondence: Bo LongDepartment of Anesthesiology, Shengjing Hospital of China Medical University, Shenyang 110004, People’s Republic of ChinaTel +86-18940259927Email longbo_27@163.comPurpose: Fast-track surgery is a developing trend in medical care. It is a core challenge for clinical anesthesia to reasonably reduce the dosage of opioids and relieve postoperative pain. Serratus anterior plane block (SAPB) is a novel analgesic technique with such advantages as easy operation, good safety, and few side effects.Patients and Methods: In total, 60 patients aged 18 to 65 years who were diagnosed with lung cancer and scheduled for thoracoscopic resection were randomly assigned to receive SABP or local infiltration anesthesia. We analyzed the time within 48 hrs after operation to visual analogue scale (VAS) pain score of 4 or higher and the number of patients requiring additional analgesics at 6 hrs and 12 hrs after operation.Results: The estimated median time to VAS ≥ 4 was 4 hrs (1.32 to 6.68) in the control group and 11 hrs (6.71 to 15.29) in the SAPB group (log-rank test: P=0.008). The number of patients requiring additional analgesics at 6- and 12 hrs after operation was significantly lower in the SAPB group than that in the control group (P< 0.05).Conclusion: Compared with local infiltration, SAPB provided extended postoperative analgesia after thoracoscopic surgery with reduced consumption of additional analgesics in the early postoperative stage.Keywords: fast-track surgery, video-assisted thoracic surgery, serratus anterior plane block, analgesia, clinical anesthesia, randomized clinical trial
format	article
author	Shang LH Xiao ZN Zhao YL Long B
author_facet	Shang LH Xiao ZN Zhao YL Long B
author_sort	Shang LH
title	Analgesic Effect of Serratus Anterior Plane Block After Thoracoscopic Surgery: A Randomized Controlled Double-Blinded Study
title_short	Analgesic Effect of Serratus Anterior Plane Block After Thoracoscopic Surgery: A Randomized Controlled Double-Blinded Study
title_full	Analgesic Effect of Serratus Anterior Plane Block After Thoracoscopic Surgery: A Randomized Controlled Double-Blinded Study
title_fullStr	Analgesic Effect of Serratus Anterior Plane Block After Thoracoscopic Surgery: A Randomized Controlled Double-Blinded Study
title_full_unstemmed	Analgesic Effect of Serratus Anterior Plane Block After Thoracoscopic Surgery: A Randomized Controlled Double-Blinded Study
title_sort	analgesic effect of serratus anterior plane block after thoracoscopic surgery: a randomized controlled double-blinded study
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/9a86bd551728410f90d1f9a9d12f66d8
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Analgesic Effect of Serratus Anterior Plane Block After Thoracoscopic Surgery: A Randomized Controlled Double-Blinded Study

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