Key result
Ultrasound-guided serratus anterior plane block significantly decreased VAS pain scores from immediate to 6 hours postoperative compared to other groups (P<0.001).
Why the study?
Breast surgery is associated with an increased incidence of acute and chronic pain, prompting evaluation of regional anesthesia techniques to improve postoperative analgesia.
Does ultrasound-guided serratus anterior plane block reduce postoperative pain compared to thoracic epidural analgesia in women undergoing unilateral breast surgery?
Comparison
Ultrasound-guided SAPB vs TEA across three groups
Design
Prospective randomized clinical study
Follow-up
24 hrs postoperative
Authors
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May support SAPB for early post-breast surgery analgesia; leaves open confirmation versus epidural in randomized trials.
RCT (n=60)
Randomized
No
Does ultrasound-guided serratus anterior plane block reduce postoperative pain compared to thoracic epidural analgesia in women undergoing unilateral breast surgery?
p-value: p=< 0.001
Serratus anterior plane block provides superior early postoperative analgesia and maintains hemodynamic stability compared to thoracic epidural analgesia in breast surgery.
Ali et al. (2021) conducted an RCT in Unilateral breast surgery (n=60). Ultrasound-guided serratus anterior plane block (SAPB) vs. Thoracic epidural analgesia (TEA) was evaluated on VAS pain scores throughout the first 24 hours postoperative (p=< 0.001). Ultrasound-guided serratus anterior plane block significantly decreased VAS pain scores from immediate to 6 hours postoperative compared to other groups (P<0.001).
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