Serratus Anterior Block for Video-assisted Thoracoscopic Surgery

Pain, Postoperative Clinical Trial

Official title:

Analgesic Effectiveness of Serratus Anterior Block for Video-assisted Thoracoscopic Surgery

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03496727
• Other study ID #: 2018/01-29
• Status: Completed
• First received: April 2, 2018
• Last updated: April 11, 2018
• Start date: February 1, 2018
• Est. completion date: March 1, 2018

Study information

• Verified date: April 2018
• Source: Kahramanmaras Sutcu Imam University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Ultrasound-guided SAPB is a facial plane block which maintained analgesia with blockade of lateral branches of intercostal nerves at above or below serratus plane muscle. There are few cases and studies in the literature reporting successful analgesia provided by SAPB in VATS operations. The serratus plane block is used in our clinic for postoperative analgesia in VATS operations. The aim of this study was to evaluate the postoperative pain scores and use of analgesia in patients performed with the serratus plane block in VATS operations in a

1-year period.

Description:

Approval for the study was granted by the Clinical Research Ethics Committee and all procedures were carried out in accordance with the Helsinki Declaration. A retrospective examination was made of the anesthesia forms of patients underwent VATS May 2016 and June 2017. Due to incomplete data of 1 of these 35 patients, that case was excluded from the study. The patients were divided into two groups. 24 patients were performed SAPB and iv PCA (intravenous patient controlled analgesia) and 10 patient's pain management were provided with only PCA. No block was administered to 10 patients because of anticoagulant therapy and patient refused block application. The demographic data of the patients (age, gender, operation type, and duration) were obtained from the anesthesia forms. The postoperative pain scores of the patients, evaluated with a visual analog scale (VAS) at 1, 6, 12 and 24 hours postoperatively and the postoperative doses of analgesia used were taken from the block pain follow-up forms

Recruitment information / eligibility

• Status: Completed
• Enrollment: 35
• Est. completion date: March 1, 2018
• Est. primary completion date: March 1, 2018
• Gender: All
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria:

VATS( Video-assisted thoracoscopy) operation

a.Serratus anterior plane block b.patient controlled analgesia

Exclusion Criteria:

missing data written consent

Related Conditions & MeSH terms

• Pain, Postoperative

Intervention

Procedure:
• Serratus anterior plane block
Serratus anterior plane block+patient controlled analgesia
• Patient controlled analgesia
Patient-controlled analgesia

Locations

Country	Name	City	State
Turkey	Kahramanmaras Sutcu Imam University Hospital	Kahramanmaras
Turkey	KahramanmarasSIU	Kahramanmaras

Sponsors (1)

Lead Sponsor	Collaborator
Kahramanmaras Sutcu Imam University

Country where clinical trial is conducted

Turkey, 

References & Publications (1)

Ökmen K, Metin Ökmen B. Evaluation of the effect of serratus anterior plane block for pain treatment after video-assisted thoracoscopic surgery. Anaesth Crit Care Pain Med. 2017 Oct 12. pii: S2352-5568(17)30041-3. doi: 10.1016/j.accpm.2017.09.005. [Epub ahead of print] — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Complications	Postoperative Complications	Postoperative 1 week
Primary	Postoperative analgesic consumption	Postoperative analgesic consumption	up to 24 hour
Secondary	Post-operative pain scores	The patient's level of pain in the postoperative period will be evaluated by the use of a 100mm Visual Analogue Scale (VAS) 1.,6.,12.,24. hour	up to 24 hour