Ultrasound-guided serratus anterior plane block combined with erector spinae plane block for intra- and post-operative analgesia after video-assisted thoracoscopic lobectomy

Liang FANG; Haolin ZHANG; Xiaohang BAO; Zhuoxi WU; Li JIANG; Zhongqi LI; Hong LI

doi:10.16016/j.1000-5404.201912183

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Ultrasound-guided serratus anterior plane block combined with erector spinae plane block for intra- and post-operative analgesia after video-assisted thoracoscopic lobectomy

更新时间：2026-01-09

- Ultrasound-guided serratus anterior plane block combined with erector spinae plane block for intra- and post-operative analgesia after video-assisted thoracoscopic lobectomy
- Journal of Third Military Medical University Vol. 42, Issue 8, Pages: 841-847(2020)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.201912183
  CLC：
- Received：19 December 2019，
  
  Published：30 April 2020
- 稿件说明：
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Liang FANG, Haolin ZHANG, Xiaohang BAO, et al. Ultrasound-guided serratus anterior plane block combined with erector spinae plane block for intra- and post-operative analgesia after video-assisted thoracoscopic lobectomy[J]. Journal of Third Military Medical University, 2020, 42(8): 841-847.
DOI：

Liang FANG, Haolin ZHANG, Xiaohang BAO, et al. Ultrasound-guided serratus anterior plane block combined with erector spinae plane block for intra- and post-operative analgesia after video-assisted thoracoscopic lobectomy[J]. Journal of Third Military Medical University, 2020, 42(8): 841-847. DOI： 10.16016/j.1000-5404.201912183.

摘要

Abstract

Objective

To investigate the effect of ultrasound-guided serratus anterior plane block (SAPB) combined with erector spinae plane block (ESPB) on intraoperative opioid consumption and postoperative analgesia in patients undergoing video-assisted thoracoscopic (VAST) lobectomy.

Methods

A total of 120 patients undergoing elective VAST lobectomy were randomized into 4 groups before the operation. After general anesthesia

the patients were given ESPB (E group)

SAPB (S group)

SAPB+ESPB (SE group) and general anesthesia only (G group). All the patients received patient-controlled intravenous analgesia (PCIA) after the operation. The amount of intraoperative opioid consumption

postoperative Visual Analogue Scale (VAS) scores at rest and when coughing

and adverse events and complications associated with analgesia were recorded in all the cases.

Results

Compared with those in G group

the postoperative VAS scores were significantly lower in the other 3 groups (

0.05); the scores were significantly lower in S and SE groups than in E group (

0.05)

but showed no significant difference between SE and S groups (

0.05). The intraoperative consumption of opioids

duration of PACU stay and sedation irritability score were all significantly lower or shorter in E

S and SE groups than in G group (

0.01). The incidence of postoperative nausea

vomiting and pulmonary complications did not differ significantly among the 4 groups (

0.05). The mean length of hospital stay was significantly shorter in E

S and SE groups than in G group

and was significantly shorter in SE group than in E group (

0.05)

but showed no significant difference between S and SE groups or between E and S groups (

05)

although SE group had a shorter hospital stay than S group by 0.76 d.

Conclusion

Ultrasound-guided SAPB

ESPB

and particularly their combination can reduce the intraoperative dose of opioids during VAST lobectomy

lower the incidence of delirium in PACU and shorten the duration of PACU stay without increasing adverse reactions to promote the patients' early recovery and discharge.

关键词

Keywords

references

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