Analgesic efficacy of ultrasound guided erector spinae plane block versus serratus anterior plane block in pediatric patients undergoing aortic coarctectomy; a randomized controlled study
Abstract Background Aortic coarctectomy (AC) is associated with marked intraoperative hemodynamic alterations and significant post-thoracotomy pain. In this study, the analgesic effects of erector spinae plane block (ESPB) and serratus anterior plane block (SAPB) were compared. Methods 28 pediatric...
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2025-07-01
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| Online Access: | https://doi.org/10.1186/s12871-025-03256-y |
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| author | Ahmed Ali Mohamed Gado Mahmoud Abdeltawab Mahmoud Atia Ahmad Awad Roman Wafaa Mohamed Elsadeq Victor Farouk Jaccoub |
| author_facet | Ahmed Ali Mohamed Gado Mahmoud Abdeltawab Mahmoud Atia Ahmad Awad Roman Wafaa Mohamed Elsadeq Victor Farouk Jaccoub |
| author_sort | Ahmed Ali Mohamed Gado |
| collection | DOAJ |
| description | Abstract Background Aortic coarctectomy (AC) is associated with marked intraoperative hemodynamic alterations and significant post-thoracotomy pain. In this study, the analgesic effects of erector spinae plane block (ESPB) and serratus anterior plane block (SAPB) were compared. Methods 28 pediatric patients were randomized into the ESPB group (received unilateral ESPB using a volume of 0.4 ml/kg of bupivacaine 0.25% and lidocaine 1% on the same side of the planned thoracotomy) and the SAPB group (received unilateral block by injecting the same local anesthetic volume and mixture at the level of the 5th rib). Both blocks were given after anesthetic induction. The primary endpoint was total intraoperative fentanyl dose, while postoperative pain scores and the first 24 h morphine dose were secondary endpoints. Results Intraoperative fentanyl consumption (mcg/kg) didn’t show a significant difference between the ESPB group (1.21 ± 0.43) and the SAPB group (1.36 ± 0.5), mean difference = 0.14, 95% CI (-0.21 to 0.50), p value = 0.421. Pain scores and first 24 h. morphine dose after surgery were comparable between both groups, p > 0.05. Conclusion Both SAPB and ESPB provided comparable perioperative analgesia in pediatric AC, which was reflected by comparable intraoperative fentanyl dose, postoperative pain scores, and postoperative morphine dosage. Trial registration NCT06567275, trial registration date: (22-08-2024) |
| format | Article |
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| institution | DOAJ |
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| language | English |
| publishDate | 2025-07-01 |
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| series | BMC Anesthesiology |
| spelling | doaj-art-477b68766bc5408ebb0df3e615be43c12025-08-20T03:05:57ZengBMCBMC Anesthesiology1471-22532025-07-012511910.1186/s12871-025-03256-yAnalgesic efficacy of ultrasound guided erector spinae plane block versus serratus anterior plane block in pediatric patients undergoing aortic coarctectomy; a randomized controlled studyAhmed Ali Mohamed Gado0Mahmoud Abdeltawab Mahmoud Atia1Ahmad Awad Roman2Wafaa Mohamed Elsadeq3Victor Farouk Jaccoub4Anesthesiology, Surgical Intensive Care and Pain Management Department, Faculty of Medicine, Cairo UniversityAnesthesiology, Surgical Intensive Care and Pain Management Department, Faculty of Medicine, Cairo UniversityAnesthesiology, Surgical Intensive Care and Pain Management Department, Faculty of Medicine, Cairo UniversityAnesthesiology, Surgical Intensive Care and Pain Management Department, Faculty of Medicine, Cairo UniversityAnesthesiology, Surgical Intensive Care and Pain Management Department, Faculty of Medicine, Cairo UniversityAbstract Background Aortic coarctectomy (AC) is associated with marked intraoperative hemodynamic alterations and significant post-thoracotomy pain. In this study, the analgesic effects of erector spinae plane block (ESPB) and serratus anterior plane block (SAPB) were compared. Methods 28 pediatric patients were randomized into the ESPB group (received unilateral ESPB using a volume of 0.4 ml/kg of bupivacaine 0.25% and lidocaine 1% on the same side of the planned thoracotomy) and the SAPB group (received unilateral block by injecting the same local anesthetic volume and mixture at the level of the 5th rib). Both blocks were given after anesthetic induction. The primary endpoint was total intraoperative fentanyl dose, while postoperative pain scores and the first 24 h morphine dose were secondary endpoints. Results Intraoperative fentanyl consumption (mcg/kg) didn’t show a significant difference between the ESPB group (1.21 ± 0.43) and the SAPB group (1.36 ± 0.5), mean difference = 0.14, 95% CI (-0.21 to 0.50), p value = 0.421. Pain scores and first 24 h. morphine dose after surgery were comparable between both groups, p > 0.05. Conclusion Both SAPB and ESPB provided comparable perioperative analgesia in pediatric AC, which was reflected by comparable intraoperative fentanyl dose, postoperative pain scores, and postoperative morphine dosage. Trial registration NCT06567275, trial registration date: (22-08-2024)https://doi.org/10.1186/s12871-025-03256-yErector spinae blockSerratus anterior blockPediatricAortic coarctectomy |
| spellingShingle | Ahmed Ali Mohamed Gado Mahmoud Abdeltawab Mahmoud Atia Ahmad Awad Roman Wafaa Mohamed Elsadeq Victor Farouk Jaccoub Analgesic efficacy of ultrasound guided erector spinae plane block versus serratus anterior plane block in pediatric patients undergoing aortic coarctectomy; a randomized controlled study BMC Anesthesiology Erector spinae block Serratus anterior block Pediatric Aortic coarctectomy |
| title | Analgesic efficacy of ultrasound guided erector spinae plane block versus serratus anterior plane block in pediatric patients undergoing aortic coarctectomy; a randomized controlled study |
| title_full | Analgesic efficacy of ultrasound guided erector spinae plane block versus serratus anterior plane block in pediatric patients undergoing aortic coarctectomy; a randomized controlled study |
| title_fullStr | Analgesic efficacy of ultrasound guided erector spinae plane block versus serratus anterior plane block in pediatric patients undergoing aortic coarctectomy; a randomized controlled study |
| title_full_unstemmed | Analgesic efficacy of ultrasound guided erector spinae plane block versus serratus anterior plane block in pediatric patients undergoing aortic coarctectomy; a randomized controlled study |
| title_short | Analgesic efficacy of ultrasound guided erector spinae plane block versus serratus anterior plane block in pediatric patients undergoing aortic coarctectomy; a randomized controlled study |
| title_sort | analgesic efficacy of ultrasound guided erector spinae plane block versus serratus anterior plane block in pediatric patients undergoing aortic coarctectomy a randomized controlled study |
| topic | Erector spinae block Serratus anterior block Pediatric Aortic coarctectomy |
| url | https://doi.org/10.1186/s12871-025-03256-y |
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