Serratus Anterior Plane Block Versus Intercostal Block

Study Overview
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Brief Summary
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Pain after thoracotomy is the most severe pain experienced by the patient. Good pain control after the operation provides comfortable respiration and reduces the development of chronic pain and complications. we aimed to compare SAPB with IBregarding postoperative visual analog scale (VAS) scores and analgesic consumption in patients undergoing thoracotomy operation.

Detailed Description
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Patients who underwent thoracotomy operation in our hospital between May 2016 and June 2017 were examined. A retrospective evaluation was made of the data that was retrieved from the records of a total of 49 patients aged 18-75 years, ASA I-III, who were applied with Intercostal (IB) or Serratus anterior plane(SAPB) for a thoracotomy operation. The patient information was retrieved from the patient records and anesthesia block forms. The data were examined in respect of age, sex, height, weight, ASA, operation type, operating time, the amount of postoperative analgesic consumption, VAS at 1.,2.,4.,6.,12.,24. hours and complications (atelectasis, nausea, vomiting, hypotension and bradycardia). Statistical analysis was performed using the SPSS program for Mac, version 17.0 (SPSS,Chicago,IL). Descriptive statistics are presented as mean and SD, and as the number of cases (n) and the corresponding percentage (%) for nominal variables. T tests were performed for normally continuous variables. The Mann-Whitney U test was used for non-parametric variables. A value of p < 0.05 was considered statistically significant.

Official Title
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Serratus Anterior Plane Block Versus Intercostal Block For Postoperative Analgesia Following Thoracotomy

Conditions
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Pain, Postoperative

Intervention / Treatment
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* Procedure: Intercostal block
* Procedure: Serratus anterior plane block


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Thoracotomy operation a.Serratus anaterior plane block b.Intercostal block Exclusion Criteria: missing data written consent rethoracotomy

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Intercostal block<br>Anesthesia induction was performed to all patients .At the end of the operation some patients were performed with intercostal block by the chest surgeon. For 24 hours postoperatively, tramadol was administered with patient-controlled analgesia (PCA) All patients were extubated after the operation and transferred to ICU. | Procedure: Intercostal block<br>* Intercostal block +patient controlled analgesia<br>|
| Serratus anterior plane block<br>Anesthesia induction was performed to all patients. At the end of the operation some 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. | Procedure: Serratus anterior plane block<br>* Serratus anterior plane block+patient controlled analgesia<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postoperative analgesic consumption | Postoperative analgesic consumption | up to 24 hour | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visuel analog scala (VAS) | 1.,2.,4.,6.,12.,24. hour | up to 24 hour | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pain, thoracotomy