Comparison of Deep Serratus Anterior Plane Block and Combination of Deep and Superficial Serratus Anterior Plane Block
Pain, Postoperative, Serratus Anterior Plane Block, Multimodal Analgesia
About this trial
This is an interventional treatment trial for Pain, Postoperative focused on measuring Serratus Anterior Plane Block, Multimodal Analgesia, VATS
Eligibility Criteria
Inclusion Criteria:
- 18 to 65 years old
- ASA physical status I-II-III
- BMI 18 to 30 kg/m2
- Elective video assisted thoracoscopic surgery
Exclusion Criteria:
- Patient refusing the procedure
- Emergency surgery
- Chronic opioid or analgesic use
Sites / Locations
- Ankara Atatürk Chest Disease and Chest Surgery Training and Research Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Deep Serratus Anterior Plane Block
Deep and Superficial Serratus Anterior Plane Block
Following the visualization of the anatomical structures, the nerve block needle will be advanced via the in-plane technique beneath the serratus anterior muscles until the interfascial space was reached. After hydrodissection with 2 ml normal saline, 20 ml 0.25% bupivacaine will be injected into the area.
In patients who are planned to have combined deep and superficial serratus anterior plane block, following the visualization of the anatomical structures, the nerve block needle will be advanced via the in-plane technique beneath the serratus anterior muscles until the interfascial space was reached. After hydrodissection with 2 ml normal saline, 10 ml 0.25% bupivacaine will be injected into the area. Then, with the same needle, will be returned 1-2 cm from the deep serratus anteror area to superficial serratus anteror area above the serratus anterior muscle and will be injected 2 ml normal saline for hydrodissection. Finally 10 ml of 0.25% bupivacaine will be injected for superficial serratus anetrior block into the interfacial area.