Postoperative Pain Clinical Trial
Official title:
Serratus Intercostal Plane Block in Supraumbilical Surgery: A Prospective Randomized Comparison
Background: The surgeries with upper abdominal wall incisions cause a severe pain and
providing an adequate analgesia is an important challenge for the anesthesiologist. The
serratus intercostal plane block (SIPB) has been already described as analgesic technique in
open cholecystectomy.
The aim of this study is to evaluate its analgesic efficacy in pain control, opioids
consumption and recovery quality in upper abdominal surgeries.
Methods: This blind, randomized controlled study was conducted on 102 patients undergoing
open upper abdominal wall surgery under general anesthesia. All patients who received
serratus intercostal plane block at the eighth rib as analgesic technique were included in
group 0 (SIPB) and in Group 1 (control) those who received continuous intravenous morphine
analgesia. In each group was evaluated pain scores in numeric verbal scale (NVS) and opioids
consumption at 0,6,12,24 y 48h postoperative time. The quality of the postoperative recovery
was evaluated with the modified Postoperative Quality of Recovery Score ( QoR-15
questionnaire) at 24h.
The scientific evidence always supports the employment of a multimodal analgesic strategy, especially in procedures that generate a severe postoperative pain2, as media laparotomy or subcostal incision. The purpose is to not retard the patients' recovery and to avoid complications. The thoracic epidural analgesia is still the reference analgesic technique in open abdominal surgery7, although it is not exempt of limitations and complications. That is why, since the introduction of thoracic and abdominal fascial blocks, they have been part of the analgesic strategy, being an alternative to considerer instead the epidural. ;
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