Analgesic efficacy of serratus anterior plane block v/s thoracic paravertebral nerve block in video-assisted thoracoscopic surgeries: A prospective randomized study

Background: Multimodal analgesia plays a vital role for adequate pain relief in postoperative period including regional nerve blocks in video-assisted thoracoscopic surgeries. The study aims to compare the analgesic efficacy of serratus anterior plane block and thoracic paravertebral nerve block us...

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Main Authors: Jaya Lalwani, Sonali Sahu, Vritika Manghnani
Format: Article
Language:English
Published: Interdisciplinary Academy of Pain Medicine 2025-01-01
Series:Медицина болю
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Online Access:https://painmedicine.org.ua/index.php/pnmdcn/article/view/371
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author Jaya Lalwani
Sonali Sahu
Vritika Manghnani
author_facet Jaya Lalwani
Sonali Sahu
Vritika Manghnani
author_sort Jaya Lalwani
collection DOAJ
description Background: Multimodal analgesia plays a vital role for adequate pain relief in postoperative period including regional nerve blocks in video-assisted thoracoscopic surgeries. The study aims to compare the analgesic efficacy of serratus anterior plane block and thoracic paravertebral nerve block using ultrasound guidance in VATS. Methods: Eighty patients scheduled for VATS under general anaesthesia, aged 18-65 years, ASA grade II & III were randomised to receive either SAP block (Group A) or TPV block (group B) after induction. Intensity of postoperative pain relief at rest & on coughing till 48 hours using VAS score, intraoperative hemodynamic changes, time to 1st rescue analgesia, complications and patient satisfaction score at 24th hour postoperatively were compared. Unpaired t-test and Chi- Square test were used for analysis. A P value less than 0.05 was considered to be statistically significant. Results: At rest, mean VAS scores in group B were slightly higher than group A till 18 hours, but the difference was statistically insignificant. At 24th and 48th hour, mean VAS scores were significantly more in group A than group B. On coughing, mean VAS scores at 12th, 18th, 24th, and 48th hour were significantly higher in group A as compared to group B (p<0.05). Mean time to 1st analgesic requirement was earlier in group A (20.97±4.9 hours) than group B (28.4±9.5 hours) (p<0.001). Both groups were hemodynamically stable with no side effects and no additional analgesic requirement. Patients in both groups at 24th hour were highly satisfied. Conclusion: TPV block provided longer duration of post-operative analgesia both at rest and on coughing with delayed requirement of first rescue analgesia.
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spelling doaj-art-4304777d5f4e4e999b31ff7b3b1f317f2025-01-11T16:40:54ZengInterdisciplinary Academy of Pain MedicineМедицина болю2414-38122519-27522025-01-0193-410.31636/pmjua.v9i3-4.4Analgesic efficacy of serratus anterior plane block v/s thoracic paravertebral nerve block in video-assisted thoracoscopic surgeries: A prospective randomized studyJaya Lalwani0Sonali Sahu1Vritika Manghnani2Pt. J. N. M. Medical College Raipur, Chhattisgarh, IndiaPt. J. N. M. Medical College Raipur, Chhattisgarh, IndiaJNM medical College, Raipur India Background: Multimodal analgesia plays a vital role for adequate pain relief in postoperative period including regional nerve blocks in video-assisted thoracoscopic surgeries. The study aims to compare the analgesic efficacy of serratus anterior plane block and thoracic paravertebral nerve block using ultrasound guidance in VATS. Methods: Eighty patients scheduled for VATS under general anaesthesia, aged 18-65 years, ASA grade II & III were randomised to receive either SAP block (Group A) or TPV block (group B) after induction. Intensity of postoperative pain relief at rest & on coughing till 48 hours using VAS score, intraoperative hemodynamic changes, time to 1st rescue analgesia, complications and patient satisfaction score at 24th hour postoperatively were compared. Unpaired t-test and Chi- Square test were used for analysis. A P value less than 0.05 was considered to be statistically significant. Results: At rest, mean VAS scores in group B were slightly higher than group A till 18 hours, but the difference was statistically insignificant. At 24th and 48th hour, mean VAS scores were significantly more in group A than group B. On coughing, mean VAS scores at 12th, 18th, 24th, and 48th hour were significantly higher in group A as compared to group B (p<0.05). Mean time to 1st analgesic requirement was earlier in group A (20.97±4.9 hours) than group B (28.4±9.5 hours) (p<0.001). Both groups were hemodynamically stable with no side effects and no additional analgesic requirement. Patients in both groups at 24th hour were highly satisfied. Conclusion: TPV block provided longer duration of post-operative analgesia both at rest and on coughing with delayed requirement of first rescue analgesia. https://painmedicine.org.ua/index.php/pnmdcn/article/view/371Serratus anterior plane blockthoracic paravertebral nerve blockvideo-assisted thoracoscopic surgery
spellingShingle Jaya Lalwani
Sonali Sahu
Vritika Manghnani
Analgesic efficacy of serratus anterior plane block v/s thoracic paravertebral nerve block in video-assisted thoracoscopic surgeries: A prospective randomized study
Медицина болю
Serratus anterior plane block
thoracic paravertebral nerve block
video-assisted thoracoscopic surgery
title Analgesic efficacy of serratus anterior plane block v/s thoracic paravertebral nerve block in video-assisted thoracoscopic surgeries: A prospective randomized study
title_full Analgesic efficacy of serratus anterior plane block v/s thoracic paravertebral nerve block in video-assisted thoracoscopic surgeries: A prospective randomized study
title_fullStr Analgesic efficacy of serratus anterior plane block v/s thoracic paravertebral nerve block in video-assisted thoracoscopic surgeries: A prospective randomized study
title_full_unstemmed Analgesic efficacy of serratus anterior plane block v/s thoracic paravertebral nerve block in video-assisted thoracoscopic surgeries: A prospective randomized study
title_short Analgesic efficacy of serratus anterior plane block v/s thoracic paravertebral nerve block in video-assisted thoracoscopic surgeries: A prospective randomized study
title_sort analgesic efficacy of serratus anterior plane block v s thoracic paravertebral nerve block in video assisted thoracoscopic surgeries a prospective randomized study
topic Serratus anterior plane block
thoracic paravertebral nerve block
video-assisted thoracoscopic surgery
url https://painmedicine.org.ua/index.php/pnmdcn/article/view/371
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AT vritikamanghnani analgesicefficacyofserratusanteriorplaneblockvsthoracicparavertebralnerveblockinvideoassistedthoracoscopicsurgeriesaprospectiverandomizedstudy