Ultrasound-guided serratus anterior plane block combined with erector spinae plane block for intra- and post-operative analgesia after video-assisted thoracoscopic lobectomy
Objective To investigate the effect of ultrasound-guided serratus anterior plane block (SAPB) combined with erector spinae plane block (ESPB) on intraoperative opioid consumption and postoperative analgesia in patients undergoing video-assisted thoracoscopic (VAST) lobectomy. Methods A total of 120...
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| Format: | Article |
| Language: | zho |
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Editorial Office of Journal of Third Military Medical University
2020-04-01
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| Series: | Di-san junyi daxue xuebao |
| Subjects: | |
| Online Access: | http://aammt.tmmu.edu.cn/Upload/rhtml/201912183.htm |
| _version_ | 1819290806859595776 |
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| author | FANG Liang ZHANG Haolin BAO Xiaohang WU Zhuoxi JIANG Li LI Zhongqi LI Hong |
| author_facet | FANG Liang ZHANG Haolin BAO Xiaohang WU Zhuoxi JIANG Li LI Zhongqi LI Hong |
| author_sort | FANG Liang |
| collection | DOAJ |
| description | Objective To investigate the effect of ultrasound-guided serratus anterior plane block (SAPB) combined with erector spinae plane block (ESPB) on intraoperative opioid consumption and postoperative analgesia in patients undergoing video-assisted thoracoscopic (VAST) lobectomy. Methods A total of 120 patients undergoing elective VAST lobectomy were randomized into 4 groups before the operation. After general anesthesia, the patients were given ESPB (E group), SAPB (S group), SAPB+ESPB (SE group) and general anesthesia only (G group). All the patients received patient-controlled intravenous analgesia (PCIA) after the operation. The amount of intraoperative opioid consumption, postoperative Visual Analogue Scale (VAS) scores at rest and when coughing, and adverse events and complications associated with analgesia were recorded in all the cases. Results Compared with those in G group, the postoperative VAS scores were significantly lower in the other 3 groups (P < 0.05); the scores were significantly lower in S and SE groups than in E group (P < 0.05), but showed no significant difference between SE and S groups (P>0.05). The intraoperative consumption of opioids, duration of PACU stay and sedation irritability score were all significantly lower or shorter in E, S and SE groups than in G group (P < 0.01). The incidence of postoperative nausea, vomiting and pulmonary complications did not differ significantly among the 4 groups (P>0.05). The mean length of hospital stay was significantly shorter in E, S and SE groups than in G group, and was significantly shorter in SE group than in E group (P < 0.05), but showed no significant difference between S and SE groups or between E and S groups (P>0.05), although SE group had a shorter hospital stay than S group by 0.76 d. Conclusion Ultrasound-guided SAPB, ESPB, and particularly their combination can reduce the intraoperative dose of opioids during VAST lobectomy, lower the incidence of delirium in PACU and shorten the duration of PACU stay without increasing adverse reactions to promote the patients' early recovery and discharge. |
| first_indexed | 2024-12-24T03:28:36Z |
| format | Article |
| id | doaj.art-72cb4bd5126348d1a56fb2d6e754cebd |
| institution | Directory Open Access Journal |
| issn | 1000-5404 |
| language | zho |
| last_indexed | 2024-12-24T03:28:36Z |
| publishDate | 2020-04-01 |
| publisher | Editorial Office of Journal of Third Military Medical University |
| record_format | Article |
| series | Di-san junyi daxue xuebao |
| spelling | doaj.art-72cb4bd5126348d1a56fb2d6e754cebd2022-12-21T17:17:16ZzhoEditorial Office of Journal of Third Military Medical UniversityDi-san junyi daxue xuebao1000-54042020-04-0142884184710.16016/j.1000-5404.201912183Ultrasound-guided serratus anterior plane block combined with erector spinae plane block for intra- and post-operative analgesia after video-assisted thoracoscopic lobectomyFANG Liang0ZHANG Haolin1BAO Xiaohang2WU Zhuoxi3JIANG Li4LI Zhongqi5LI Hong6Department of Anesthesiology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, ChinaDepartment of Anesthesiology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, ChinaDepartment of Anesthesiology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, ChinaDepartment of Anesthesiology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, ChinaDepartment of Thoracic Surgery, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China Department of Anesthesiology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, ChinaDepartment of Anesthesiology, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, ChinaObjective To investigate the effect of ultrasound-guided serratus anterior plane block (SAPB) combined with erector spinae plane block (ESPB) on intraoperative opioid consumption and postoperative analgesia in patients undergoing video-assisted thoracoscopic (VAST) lobectomy. Methods A total of 120 patients undergoing elective VAST lobectomy were randomized into 4 groups before the operation. After general anesthesia, the patients were given ESPB (E group), SAPB (S group), SAPB+ESPB (SE group) and general anesthesia only (G group). All the patients received patient-controlled intravenous analgesia (PCIA) after the operation. The amount of intraoperative opioid consumption, postoperative Visual Analogue Scale (VAS) scores at rest and when coughing, and adverse events and complications associated with analgesia were recorded in all the cases. Results Compared with those in G group, the postoperative VAS scores were significantly lower in the other 3 groups (P < 0.05); the scores were significantly lower in S and SE groups than in E group (P < 0.05), but showed no significant difference between SE and S groups (P>0.05). The intraoperative consumption of opioids, duration of PACU stay and sedation irritability score were all significantly lower or shorter in E, S and SE groups than in G group (P < 0.01). The incidence of postoperative nausea, vomiting and pulmonary complications did not differ significantly among the 4 groups (P>0.05). The mean length of hospital stay was significantly shorter in E, S and SE groups than in G group, and was significantly shorter in SE group than in E group (P < 0.05), but showed no significant difference between S and SE groups or between E and S groups (P>0.05), although SE group had a shorter hospital stay than S group by 0.76 d. Conclusion Ultrasound-guided SAPB, ESPB, and particularly their combination can reduce the intraoperative dose of opioids during VAST lobectomy, lower the incidence of delirium in PACU and shorten the duration of PACU stay without increasing adverse reactions to promote the patients' early recovery and discharge.http://aammt.tmmu.edu.cn/Upload/rhtml/201912183.htmserratus anterior plane blockerector spinae plane blocklobectomythoracoscopic surgerypostoperative analgesia |
| spellingShingle | FANG Liang ZHANG Haolin BAO Xiaohang WU Zhuoxi JIANG Li LI Zhongqi LI Hong Ultrasound-guided serratus anterior plane block combined with erector spinae plane block for intra- and post-operative analgesia after video-assisted thoracoscopic lobectomy Di-san junyi daxue xuebao serratus anterior plane block erector spinae plane block lobectomy thoracoscopic surgery postoperative analgesia |
| title | Ultrasound-guided serratus anterior plane block combined with erector spinae plane block for intra- and post-operative analgesia after video-assisted thoracoscopic lobectomy |
| title_full | Ultrasound-guided serratus anterior plane block combined with erector spinae plane block for intra- and post-operative analgesia after video-assisted thoracoscopic lobectomy |
| title_fullStr | Ultrasound-guided serratus anterior plane block combined with erector spinae plane block for intra- and post-operative analgesia after video-assisted thoracoscopic lobectomy |
| title_full_unstemmed | Ultrasound-guided serratus anterior plane block combined with erector spinae plane block for intra- and post-operative analgesia after video-assisted thoracoscopic lobectomy |
| title_short | Ultrasound-guided serratus anterior plane block combined with erector spinae plane block for intra- and post-operative analgesia after video-assisted thoracoscopic lobectomy |
| title_sort | ultrasound guided serratus anterior plane block combined with erector spinae plane block for intra and post operative analgesia after video assisted thoracoscopic lobectomy |
| topic | serratus anterior plane block erector spinae plane block lobectomy thoracoscopic surgery postoperative analgesia |
| url | http://aammt.tmmu.edu.cn/Upload/rhtml/201912183.htm |
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