Abstract
Abstract Background Pain is an everyday challenge during all surgeries and it is a chief postoperative complication, so pain management is a corner stone in anesthetic practice. Minimally invasive thoracic surgery (MITS) has become more common over the past decade, with the proportion of lung resections performed using this technique increasing from 16% in 2005 to 47% in 2015. MITS includes both video-assisted and robotic-assisted techniques, with smaller skin incisions and chest wall trauma compared with open thoracotomy, Benefits include reduced postoperative pain, morbidity, and shorter hospital stay. Objective To compare efficacy between Serratus anterior block and Erector supinae block in Video assisted thoracoscopic surgery for minimally invasive thoracic surgery as regard post operative opioid consumption. Patients and Methods The study was conducted in Ain Shams University Hospitals after approval of the ethics committee and written patients‟ consent. It included a total of 40 adult patients aged 18-70 years, Scheduled for video assisted thoracoscopic surgeries. Patients were randomly divided into two equal groups, 20each, according to the inclusion and exclusion criteria. Results Intraoperative fentanyl consumption, postoperative opioid consumption and 1st rescue analgesic use were significantly lower in the ESPB group (P < 0.05). NRS scores were significantly lower in the ESPB group (P < 0.05) than SAPB from 2 to 8 hour only, mean arterial pressure and Heart rate was significantly lower from 2hour to 8hour in ESPB than SAPB but there were no significant difference in hemodynamics intraoperative. Conclusion Clinicians could develop a preference for either ESPB or SAPB for pain control after VATS based on their clinical experiences and personal choices. However, our study showed that US-guided ESPB may provide better pain control than SAPB.
Published Version
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