Comparison of Combined Serratus Anterior Plane Block and Thoracic Paravertebral Block
Status:
Recruiting
Trial end date:
2023-02-15
Target enrollment:
Participant gender:
Summary
Video-assisted thoracic surgery (VATS) has become a common procedure in thoracic surgery.
Severe postoperative pain may be encountered in patients undergoing VATS. Analgesic methods
such as thoracic paravertebral block (TPVB), intercostal block, serratus anterior plane block
(SAPB) and erector spina plane block (ESPB) are widely used for VATS. Among these methods,
ultrasound (US) guided TPVB is the most preferred method. In recent years, the frequency of
application of plane blocks as a component of multimodal analgesia has been increased. ESPB
and SAPB are some of them. There are two techniques for SAPB application. In Deep SAPB
(DSAPB) application, local anesthetic agent is given under the serratus anterior muscle. In
the Superficial SAPB (SSAPB) application, the local anesthetic agent is given above the
serratus anterior muscle. Since it is done by entering from the same point in two
applications, it is possible to perform these two applications at the same time with a single
needle entry. The mechanisms of regional analgesia techniques used after thoracic surgery
operations are also different from each other. Therefore, it may be possible to obtain a more
effective analgesic effect in patients by combining the mechanism of action of DSAPB and
SSAPB , as in the multimodal analgesia method. This study seeks to evaluate the effect of
TPVB and combined SAPB (CSAPB) after VATS.
Phase:
N/A
Details
Lead Sponsor:
Atatürk Chest Diseases and Chest Surgery Training and Research Hospital