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Comparison of the efficacy of two different plane blocks in isolated bypass surgery: A prospective observational study

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Erişim

info:eu-repo/semantics/closedAccess

Tarih

2022

Yazar

Yaşar, Osman Can
Batçık, Şule
Kazdal, Hızır
Kazancıoğlu, Leyla
Hemşinli, Doğuş
Erdivanlı, Başar

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Künye

Yasar, O. C., Batcik, S., Kazdal, H., Kazancioglu, L., Hemsinli, D., & Erdivanli, B. (2022). Comparison of the Efficacy of Two Different Plane Blocks in Isolated Bypass Surgery: A Prospective Observational Study. Journal of cardiothoracic and vascular anesthesia, 36(12), 4333–4340. https://doi.org/10.1053/j.jvca.2022.08.002

Özet

Objective: This study evaluated the effects of serratus anterior plane block (SPB) and its combination with transverse thoracic muscle plane block (TTPB) on analgesia, opioid consumption, incentive spirometry performance, and patient comfort. Design: A prospective, observational study. Setting: A university hospital. Participants: Adult patients scheduled for elective cardiac surgery with cardiopulmonary bypass. Interventions: Patients who received intravenous patient-controlled analgesia only were labeled as the control group. Patients who received additional SPB were labeled as the SPB group, and patients who received additional SPB and TTPB were labeled as the SPB+TTPB group. The visual analog scores for pain (VAS), time to first analgesic requirement, total tramadol requirement, incentive spirometry values, and patient comfort indices were recorded during the first 36 postoperative hours. Measurements and Main Results: From October 2020 to October 2021, data from 95 patients were analyzed. The VAS score was lower in the SPB+TTPB group at 0, 14, and 18 hours (p < 0.001, p = 0.028, p = 0.047, respectively). Time to first analgesic was longer in the SPB+TTPB group (8 hours v 0-2 hours, p = 0.001). Total tramadol consumption was similar among groups. Incentive spirometer performance was superior in the SPB+TTPB group (p < 0.001). The SPB group had similar success at 0, 14, and 18 hours. Conclusion: Although pain scores and opioid consumption were similar, the addition of TTPB to SPB improved pain scores during patient mobilization and incentive spirometry capacity.

Kaynak

Journal of Cardiothoracic and Vascular Anesthesia

Cilt

36

Sayı

12

Bağlantı

https://doi.org/10.1053/j.jvca.2022.08.002
https://hdl.handle.net/11436/7285

Koleksiyonlar

  • PubMed İndeksli Yayınlar Koleksiyonu [2440]
  • Scopus İndeksli Yayınlar Koleksiyonu [5917]
  • TF, Cerrahi Tıp Bilimleri Bölümü Koleksiyonu [1215]



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