Comparison of efficiency of serratus anterior plane block and thoracic epidural block for thoracotomy analgesia

Year 2018, Volume:3 Issue: 3, 156 - 159, 30.11.2018

Korgün Ökmen

https://doi.org/10.25000/acem.435367

Cited By: 3

Abstract

Aim: Currently,
regional anesthesia methods are frequently used for post-thoracotomy pain. In
this study, we aimed to compare the efficacy of serratus anterior plane block
and thoracic epidural block for pain after thoracotomy.

Methods: This retrospective
study included 120 patients who underwent thoracotomy. Seventy patients who met
the inclusion criteria were evaluated in two groups as Group E (thoracic
epidural block) (n=37) and Group S (serratus
anterior plane block) (n=33). Postoperative 2^nd,
6^th, 12^th and 24 hour visual analogue scale scores
and total analgesic consumption for 24 hours were evaluated.
Secondary outcomes were determined as side effects, additional analgesic drug
requirement and complications.

Results: In the comparison between the groups,
there was no statistically significant difference between two groups in terms
of Postoperative
2^nd (p=0.417), 6^th (p=0.271), 12th (p=0.734) and 24 hour
(p=0.157) visual analogue scale scores ​​and the amount of total analgesic consumption for 24 hours (p=0.714). There was no statistically significant
difference between two groups with regard to the side effects nausea and vomiting
(p=0.714), pruritus (p=N/A), respiratory depression
(p=N/A) levels.

Conclusion: The results of this study demonstrate that use of serratus
anterior plane block and thoracic epidural block administration has similar outcomes
for post-thoracotomy analgesia. 

Keywords

thoracotomy, analgesia, bupivacaine, pain management, epidural anesthesia

Torakotomi analjezisi için uygulanan serratus anterior alan ve torakal epidural blok etkinliklerinin karşılaştırılması

Abstract

Amaç: Post-torakotomi ağrısı için günümüzde rejyonal anestezi
yöntemleri sıklıkla kullanılmaktadır. Bu çalışmada torakotomi sonrası ağrı için
serratus anterior alan bloğunun (SAPB) ve torakal epidural bloğun etkinliğini karşılaştırmayı
amaçladık.

Yöntemler: Bu retrospektif çalışmada torakotomi yapılan 120 hasta
çalışmaya alındı.Dahil etme kriterlerini karşılayan 70 hasta Grup E (torasik
epidural blok) (n=37) ve Grup S (serratus anterior alan blok) (n=33) olmak
üzere iki grupta değerlendirildi. Postoperatif 2., 6., 12. ve 24. saatlerde
görsel analog skala skorları ve 24 saatlik  toplam analjezik tüketimi değerlendirildi.
İkincil sonuçlar yan etkiler, ek analjezik ilaç gereksinimi ve komplikasyon
olarak belirlendi.

Bulgular: Gruplar arasında yapılan
karşılaştırmalarda ameliyat sonrası 2. saat (p=0.417), 6. saat (p=0.271), 12.
saat (p=0.734) ve 24. saat (p=0.157) görsel analog skala skorları ve 24 saatlik
 toplam analjezik tüketimi miktarları (p=0.714)
karşılaştırıldığında, 2 grup arasında istatistiksel olarak anlamlı fark
yoktu.  İki grup arasında yan etkiler, bulantı
ve kusma (p=0.714), kaşıntı (p=N/A), solunum depresyonu (p=N/A) düzeyleri
açısından istatistiksel olarak anlamlı fark yoktu.

Sonuç: Bu çalışmanın sonuçları, serratus anterior alan
bloğu ve torasik epidural blok uygulamasının torakotomi sonrası analjezi için
benzer sonuçlara sahip olduğunu göstermektedir.

Keywords

torakotomi, bupivakain, analgezi, ağrı yönetimi, epidural anestez

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