Safety and efficacy of surgically performed continuous superficial serratus anterior plane block in uniportal video-assisted thoracic surgery
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...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jmas.jmas_345_23 |
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| author | Giovanni Punzo Dania Nachira Giuseppe Calabrese Chiara Cambise Maria Teresa Congedo Maria Letizia Vita Elisa Meacci Stefano Margaritora |
| author_facet | Giovanni Punzo Dania Nachira Giuseppe Calabrese Chiara Cambise Maria Teresa Congedo Maria Letizia Vita Elisa Meacci Stefano Margaritora |
| author_sort | Giovanni Punzo |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-2e8ddfc08dff4f219bbc840b9efd228a |
| institution | OA Journals |
| issn | 0972-9941 1998-3921 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj-art-2e8ddfc08dff4f219bbc840b9efd228a2025-08-20T02:14:15ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212025-04-0121216216810.4103/jmas.jmas_345_23Safety and efficacy of surgically performed continuous superficial serratus anterior plane block in uniportal video-assisted thoracic surgeryGiovanni PunzoDania NachiraGiuseppe CalabreseChiara CambiseMaria Teresa CongedoMaria Letizia VitaElisa MeacciStefano MargaritoraIntroduction: 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.https://journals.lww.com/10.4103/jmas.jmas_345_23fascial blockminimally invasive thoracic surgerypain managementsuperficial serratus anterior plane blockuniportal video-assisted thoracic surgery |
| spellingShingle | Giovanni Punzo Dania Nachira Giuseppe Calabrese Chiara Cambise Maria Teresa Congedo Maria Letizia Vita Elisa Meacci Stefano Margaritora Safety and efficacy of surgically performed continuous superficial serratus anterior plane block in uniportal video-assisted thoracic surgery Journal of Minimal Access Surgery fascial block minimally invasive thoracic surgery pain management superficial serratus anterior plane block uniportal video-assisted thoracic surgery |
| title | Safety and efficacy of surgically performed continuous superficial serratus anterior plane block in uniportal video-assisted thoracic surgery |
| title_full | Safety and efficacy of surgically performed continuous superficial serratus anterior plane block in uniportal video-assisted thoracic surgery |
| title_fullStr | Safety and efficacy of surgically performed continuous superficial serratus anterior plane block in uniportal video-assisted thoracic surgery |
| title_full_unstemmed | Safety and efficacy of surgically performed continuous superficial serratus anterior plane block in uniportal video-assisted thoracic surgery |
| title_short | Safety and efficacy of surgically performed continuous superficial serratus anterior plane block in uniportal video-assisted thoracic surgery |
| title_sort | safety and efficacy of surgically performed continuous superficial serratus anterior plane block in uniportal video assisted thoracic surgery |
| topic | fascial block minimally invasive thoracic surgery pain management superficial serratus anterior plane block uniportal video-assisted thoracic surgery |
| url | https://journals.lww.com/10.4103/jmas.jmas_345_23 |
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