Comparison of the Analgesic Efficacy of Serratus Anterior Plane Block and Intercostal Block

  • STATUS
    Recruiting
  • participants needed
    60
  • sponsor
    Atatürk Chest Diseases and Chest Surgery Training and Research Hospital
Updated on 30 November 2022
analgesia
opioid
body mass index
epidurals
injuries
pain relieving

Summary

More than 50% of patients presenting with chest trauma experience rib fractures and these rib fractures are associated with significant morbidity, mortality, and long-term disability. Many of these adverse outcomes result from poorly controlled pain that interferes with breathing, leading to atelectasis, pneumonia, and respiratory failure. Therefore, early provision of adequate analgesia is crucial in the management of these patients. The basic stones of analgesic therapy are oral and intravenous drugs such as paracetamol, nonsteroidal anti-inflammatory drugs (NSAIDs), and opioids. However, patients with more significant injuries or comorbidities often require interventional procedures to provide adequate analgesia and avoid opioid-related side effects. Thoracic epidural analgesia and thoracic paravertebral blocks have traditionally been used, but these techniques are associated with side effects and may cause hemodynamic instability. Today, the use of ultrasonography (USG) guided block techniques such as erector spinae plane block (ESPB), serratus anterior plane block (SAPB) and intercostal block (ICB) has increased. These techniques are considered to be simpler and theoretically safer. Although ICB is frequently mentioned in the literature, the publications of new plane blocks such as ESPB and SAPB are new and few in number. In this study, SAPB and ICP to be performed with USG will be evaluated in terms of analgesic effect.

Details
Condition Rib Fractures, Serratus Anterior Plane Block, Erector Spinae Plane Block, Acute Pain
Treatment serratus anterior plane block, Intercostal block, Serratus Anterior Plane Block vs Intercostal Block
Clinical Study IdentifierNCT05160155
SponsorAtatürk Chest Diseases and Chest Surgery Training and Research Hospital
Last Modified on30 November 2022

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