Video yardımlı torakoskopik cerrahi uygulanan hastalarda ultrasonografi eşliğinde yapılanserratus anterior plane blok ile infiltrasyon blok uygulamasının intraoperatif ve postoperatif etkinliklerinin karşılaştırılması

Amaç: Bu çalışmada video yardımlı torakoskopik cerrahi (VATS) uygulanacak hastalarda, preventif uygulanan serratus anterior plan (SAP) bloğu ve infiltrasyon bloğunun intraoperatif ve postoperatif analjezik etkinliklerini prospektif ve randomize kontrollü olarak karşılaştırmayı amaçladık. Gereç ve Yöntem: Etik kurul onayı ve hastalardan alınan yazılı onam sonrası, elektif VATS uygulanacak, Amerikan Anestezistler Derneği (ASA) sınıflaması I-II olan, 18–80 yaş grubu 60 hasta çalışmaya dahil edildi. Hastalar randomizasyonu takiben demografik verileri kaydedilerek rutin monitorizasyon ve genel anestezi indüksiyonu sonrası, SAP (Grup SAPB) ve infiltrasyon blok (Grup İB) yapılan gruplar olarak ikiye ayrıldı. Tüm hastaların hemodinamik verileri indüksiyon öncesi, sonrası ve intraoperatif 30 dakikalık periyotlarda kaydedildi. Postoperatif bütün hastalara morfin ile hazırlanmış hasta kontrollü analjezi (HKA) uygulandı. Hastaların intraoperatif hemodinamik verileri ve opioid tüketimlerini, istirahat ve öksürmekle Vizüel Analog Skala (VAS) skorları, ilk HKA dozu gereksinim zamanı, postoperatif opioid tüketimleri, kurtarıcı analjezik gereksinimleri, mobilizasyon zamanları, opioid yan etkileri, hasta ve cerrahi ekibin memnuniyeti değerlendirildi. Bulgular: İntraoperatif hemodinamik veriler ve opioid tüketimleri her iki grupta benzer bulundu. SAPB grubunda postoperatif ağrı skorları (0. ve 30. dk, 1. 2. 4. 8. ve 12. sa) daha düşük (p

Comparison of intraoperative and post-operative effects of serratus anterior plane block performed with ultrasound and infiltration block in patients undergoing video-assisted thoracoscopic surgery

Objectives: We aimed to compare the intraoperative and post-operative analgesic activities of the preventive applied serratus anterior plane (SAP) block and infiltration block in patients undergoing video-assisted thoracoscopic surgery (VATS). Methods: The study was carried out in 60 patients aged between 18 and 80 who were eligible for elective VATS, with the American Society of Anesthesiologists classification I-II, following ethical committee approval and written informed consent form. Patients were divided into two groups as SAP (group serratus anterior plane block [SAPB]) and group infiltration block after routine monitoring and general anesthesia induction by recording demographic data after randomization. Hemodynamic data of all patients were recorded before, after induction and within intraoperative 30 min period. Patient controlled analgesia (PCA) prepared with morphine was applied to all patients postoperatively. Intraoperative hemodynamic data and opioid consumption of patients, resting time, and coughing visual analog scale, time to first PCA dose, post-operative opioid consumption, rescue analgesic requirement, mobilization times, opioid side effects, and patient and surgical team’s satisfaction were evaluated. Results: Intraoperative hemodynamic data and opioid consumption were similar between the two groups. Post-operative pain scores (0 and 30 min, 1, 2, 4, 8, and 12 h) were lower in the SAPB group (p

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