Safety and efficacy of surgically performed continuous superficial serratus anterior plane block in uniportal video-assisted thoracic surgery.

IF 1 4区医学 Q3 SURGERY

Journal of Minimal Access Surgery Pub Date : 2024-07-30 DOI:10.4103/jmas.jmas_345_23

Giovanni Punzo, Dania Nachira, Giuseppe Calabrese, Chiara Cambise, Maria Teresa Congedo, Maria Letizia Vita, Elisa Meacci, Stefano Margaritora

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引用次数: 0

Abstract

Introduction: The 'surgically performed' continuous superficial serratus anterior plane block (continuous s-SAPB) was never described before in uniportal video-assisted thoracic surgery (uniportal VATS) surgery. The aim of the study was to evaluate the safety and efficacy of the technique.

Patients and methods: Between March 2022 and April 2023, 50 patients, undergone uniportal VATS surgery at our thoracic surgery department, were scheduled for a surgically performed continuous s-SAPB as post-operative analgesia protocol.

Results: The mean execution time for the block was 3.92 ± 2.56 min. Ten patients (20%) required morphine for a visual analogue scale (VAS) score >4 immediately after surgery. The recorded VAS score at chest tube removal was 1.87 ± 1.41, whereas 2 h after the manoeuvre was 0.42 ± 0.72. No complication related to block insertion was recorded. The onset of chronic pain was observed in a total of 2 patients (4%).

Conclusions: The surgically performed continuous s-SAPB in uniportal VATS seems to be safe and easy to perform, and it provides a satisfactory analgesic effect.

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在单门视频辅助胸腔手术中通过手术进行连续浅锯肌前平面阻滞的安全性和有效性。

简介：在单孔视频辅助胸腔镜手术（uniportal VATS）中，"手术实施 "的连续锯齿状前平面浅层阻滞（continuous s-SAPB）以前从未被描述过。本研究旨在评估该技术的安全性和有效性：2022年3月至2023年4月期间，50名在我院胸外科接受单孔VATS手术的患者被安排接受手术连续s-SAPB作为术后镇痛方案：结果：阻滞的平均执行时间为 3.92 ± 2.56 分钟。10名患者（20%）在术后立即因视觉模拟评分量表（VAS）评分大于4分而需要使用吗啡。拔除胸管时记录的 VAS 评分为 1.87 ± 1.41，而操作 2 小时后的评分为 0.42 ± 0.72。没有记录到与阻滞插入有关的并发症。共有 2 名患者（4%）出现慢性疼痛：结论：在单孔 VATS 手术中进行连续 s-SAPB 似乎既安全又简便，而且镇痛效果令人满意。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Minimal Access Surgery SURGERY-

CiteScore

1.70

自引率

0.00%

发文量

151

审稿时长

36 weeks

期刊介绍： Journal of Minimal Access Surgery (JMAS), the official publication of Indian Association of Gastrointestinal Endo Surgeons, launched in early 2005. The JMAS, a quarterly publication, is the first English-language journal from India, as also from this part of the world, dedicated to Minimal Access Surgery. The JMAS boasts an outstanding editorial board comprising of Indian and international experts in the field.