Thorac Cardiovasc Surg
DOI: 10.1055/s-0040-1715491
Original Thoracic

Postoperative Thoracic Pain Treatment: Serratus Anterior or Erector Spinae Plane Block?

1  Department of Anesthesiology and Reanimation, Erciyes University Medical Faculty, Kayseri, Turkey
,
Sibel Seçkin Pehlivan
1  Department of Anesthesiology and Reanimation, Erciyes University Medical Faculty, Kayseri, Turkey
,
Ömer Faruk Demir
2  Department of Thoracic Surgery, Erciyes University Medical Faculty, Kayseri, Turkey
› Author Affiliations

Abstract

Background Thoracic surgery is one of the most painful surgeries. Effective analgesia is important in postoperative pain management. In this study, we aimed to compare the two new fascial block techniques.

Methods A total of 107 patients who underwent thoracic surgery between October 2018 and November 2019 were retrospectively evaluated. The study included 59 patients in the serratus anterior plane block (SAPB) group and 48 patients in the erector spinae plane block (ESPB) group. Both groups were administered 30 mL of 0.25% bupivacaine and their morphine consumption was evaluated by a patient-controlled analgesia (PCA) method during the 2nd, 6th, 12th, 24th, and 48th postoperative hours. Pain was measured with the visual analog scale (VAS). Intraoperative mean arterial pressure (MAP) and heart rate (HR) were recorded.

Results During the first 24 hours, VAS values were significantly lower in the ESPB group (p < 0.05). Moreover, morphine consumption was significantly lower in the ESPB group in the 24th and 48th hours (p < 0.05). Intraoperative remifentanil consumption was also significantly lower in the ESPB group (p < 0.05). Intraoperative MAP in the ESPB group was found to be significantly lower after the 4th hour. HR was similar in both groups.

Conclusion ESPB was more effective compared with SAPB in postoperative thoracic pain management.

Financial disclosure

No external funding.




Publication History

Received: 28 April 2020

Accepted: 26 June 2020

Publication Date:
25 October 2020 (online)

Georg Thieme Verlag KG
Stuttgart · New York