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Comparison of analgesic efficacy of ultrasound-guided thoracic paravertebral block versus surgeon-guided serratus anterior plane block for acute postoperative pain in patients undergoing thoracotomy for lung surgery-A prospective randomized study
| Content Provider | Scilit |
|---|---|
| Author | Kumar, Vinod Patel, Anuradha Garg, Rakesh Bhatnagar, Sushma Mishra, Seema Gupta, Nishkarsh Bharti, Sachidanand Jee Kumar, Sunil |
| Copyright Year | 2020 |
| Abstract | Context: Inadequate pain relief after thoracotomy may lead to postoperative respiratory complications. Aims: We have compared total morphine consumption in 24 hours following thoracotomy. Settings and Design: This prospective randomized pilot study involved 50 patients undergoing elective thoracotomy for lung surgery at AIIMS, New Delhi. Patients and Methods: Fifty patients undergoing elective thoracotomy were randomly allocated into two groups. In Group I patients, ultrasound (USG)-guided paravertebral catheter was inserted preoperatively and in Group II patients, serratus anterior plane (SAP) catheter was inserted by the surgeon before closure. Ropivacaine bolus (group I: 0.2% 0.1 ml/kg and group II: 0.375% 0.4 ml/kg) was given before extubation, followed by its continuous infusion for 24 hours. If the numerical rating scale (NRS) was >3, then patients were given intravenous (i.v.) morphine 3 mg. Total 24-hour morphine consumption, duration of effective analgesia, hemodynamic parameters, side effects, and overall patient satisfaction were recorded. Statistical Analysis Used: T-test was used to compare the parametric values in both the groups, whereas the Mann–Whitney U-test was performed to compare the nonparametric values. Results: Postoperative morphine requirement in the ParaVertebral Block (PVB) group (8.65 ± 4.27 mg) was less as compared to the SAP group (11.87 ± 6.22 mg) but that was not statistically significant (p 0.052). Postoperative pain scores at rest and on movement, patient satisfaction, and incidence of chronic post-thoracotomy pain were comparable in both the groups. Conclusion: SAP block with continuous catheter technique seems to be a safe and effective modality for the management of acute postoperative pain after thoracotomy. |
| Related Links | https://www.saudija.org/article.asp?issn=1658-354X;year=2020;volume=14;issue=4;spage=423;epage=430;aulast=Patel;type=2 |
| Ending Page | 430 |
| Page Count | 8 |
| Starting Page | 423 |
| File Format | XHTML |
| ISSN | 1658354X |
| e-ISSN | 09753125 |
| DOI | 10.4103/sja.sja_143_20 |
| Journal | Saudi Journal of Anaesthesia |
| Issue Number | 4 |
| Volume Number | 14 |
| Language | English |
| Publisher | Medknow |
| Publisher Date | 2020-01-01 |
| Access Restriction | Open |
| Subject Keyword | Anesthesiology Paravertebral Postoperative Pain Serratus Anterior Plane Block Thoracotomy Saudi Journal of Anaesthesia, Volume 14, Issue 4 |
| Content Type | Text |
| Resource Type | Article |
| Subject | Anesthesiology and Pain Medicine |
