A Randomized Trial to Compare Serratus Anterior Plane Block and Erector Spinae Plane Block for Pain Management following Thoracoscopic Surgery

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Ekinci M., ÇİFTÇİ B., Gölboyu B. E., Demiraran Y., Bayrak Y., Tulgar S.

Pain Medicine (United States), vol.21, no.6, pp.1248-1254, 2020 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 21 Issue: 6
  • Publication Date: 2020
  • Doi Number: 10.1093/pm/pnaa101
  • Journal Name: Pain Medicine (United States)
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE, Psycinfo, SportDiscus
  • Page Numbers: pp.1248-1254
  • Keywords: Erector Spinae Plane Block, Serratus Anterior Plane Block, Video-Assisted Thoracic Surgery, Postoperative Analgesia
  • Istanbul Medipol University Affiliated: Yes


Objective: Comparison of ultrasound (US)-guided erector spinae plane block (ESPB) and serratus anterior plane block (SAPB) in video-Assisted thoracic surgery (VATS) patients. The primary outcome was to compare perioperative and postoperative (48 hours) opioid consumption. Methods: A total of 60 patients were randomized into two groups (N = 30): An ESPB group and an SAPB group. All the patients received intravenous patient-controlled postoperative analgesia and ibuprofen 400 mg intravenously every eight hours. Visual analog scale (VAS) scores, opioid consumption, and adverse events were recorded. Results: Intraoperative and postoperative opioid consumption at 0-8, 8-16, and 16-24 hours and rescue analgesic use were significantly lower in the ESPB group (P < 0.05). Static/dynamic VAS scores were significantly lower in the ESPB group (P < 0.05). There was no significant difference between static VAS scores at the fourth hour. There were no differences between adverse effects. Block procedure time and one-Time puncture success were similar between groups (P > 0.05 each). Conclusion: US-guided ESPB may provide better pain control than SAPB after VATS. Question: Even though there are studies about analgesia management after VATS, clinicians want to perform the technique that is both less invasive and more effective. Findings: This randomized trial showed that US-guided ESPB provides effective analgesia compared with SAPB. Meaning: Performing single-injection ESPB reduces VAS scores and opioid consumption compared with SAPB.