Evaluating the effect of ultrasound–guided superficial serratus plane block, deep serratus plane block and thoracic epidural analgesia in cancer patients undergoing thoracotomy: A randomized controlled trial

Background & objective: The serratus anterior plane block (SAPB) is a recent technique providing effective perioperative analgesia in thoracic surgeries. This study compared the intra–operative hemodynamics and analgesic efficacy of superficial SAPB, to deep epidural thoracotomies.
 Methodology: one hundred eighty lung cancer patients scheduled for thoracotomy were randomly allocated three groups; TEA group, which received analgesia, SSPB group receiving ultrasound–guided DSPB US–guided block. Baseline total consumption intraoperative fentanyl postoperative morphine was noted.
 Results: Intra–operative mean arterial pressure (MAP) significantly decreased baseline values, whereas no significant changes found either or groups. Heart rate (HR) did not show any group. time demand longer groups than (p < 0.001). In first hour, had higher visual analogue scale (VAS) scores at rest with cough. comparable among all groups.
 Conclusion: Pre–operative can provide adequate without hemodynamic instability when Key words: Deep block; Superficial Thoracic analgesia; Analgesia; Thoracotomy
 Trial registration: trial registered ClinicalTrials.gov registration number (NCT 04189120). https://clinicaltrials.gov/ct2/show/NCT04189120
 Citation: Abdelrahman AS, Al Wasseef MM, Hassan ME, Abdelghafar EM. Evaluating effect block, undergoing thoracotomy: A randomized controlled trial. Anaesth. pain intensive care 2021;25(6):713–721;
 DOI: 10.35975/apic.v25i6.1690