Comparison of the postoperative analgesic efficacy of serratus anterior plane block with different types of blocks for video-assisted thoracoscopic surgery: A systematic review and meta-analysis of randomized controlled trials

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dc.contributor.authorDostbil, Aysenur
dc.contributor.authorKasali, Kamber
dc.contributor.authorAydin, Yener
dc.contributor.authorInce, Ilker
dc.contributor.authorUlas, Ali Bilal
dc.contributor.authorYilmaz, Mehmet Akif
dc.contributor.authorCeren, Muhammed
dc.contributor.authorEroğlu, Atilla
dc.contributor.authorOzgodek, Habip Burak
dc.contributor.authorOzkal, Mirac Selcen
dc.contributor.authorElsharkawy, Hesham
dc.date.accessioned2024-11-25T10:12:14Z
dc.date.available2024-11-25T10:12:14Z
dc.date.issued2024en_US
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: The study aimed to compare the analgesic efficacy of single-shot serratus anterior plane block (SAPB) for video-assisted thoracoscopic surgery (VATS) with other regional block techniques. Methods: In this meta-analysis, randomized controlled trials published in the PubMed, Scopus, Web of Science, ClinicalKey, and PROSPERO electronic databases between March 24, 2014 and March 24, 2024 comparing the analgesic efficacy of SABP with other regional blocks in adult patients undergoing VATS were reviewed. Results: Nine randomized controlled trials consisting of a total of 537 participants (287 males, 250 females; mean age: 55.2±13.1 years) were included in this meta-analysis. Serratus anterior plane block was compared with erector spinae plane block (ESPB), local infiltration anesthesia (LIA), and thoracic paravertebral block (TPVB). The postoperative 24-h cumulative opioid consumption was statistically significantly higher in SAPB than in ESPB (standardized mean difference [SMD]=1.98; 95% confidence interval [CI], 0.23 to 3.73; Z=2.22; p=0.03; I2=97%; random effects model) and TPVB (SMD=0.63; 95% CI, 0.31 to 0.96; Z=3.84; p<0.001; I2=0%; fixed effects model) and lower than in LIA (SMD=–1.77; 95% CI, –2.24 to –1.30; Z=7.41; p<0.001; I2=0%; fixed effects model). Active pain scores 2 h postoperatively were statistically significantly lower in SAPB than in LIA (SMD=–2.90; 95% CI, –5.29 to –0.50; Z=2.37; p=0.02; I2=93%; random-effects model). At 12 h postoperatively, both passive pain scores (SMD=0.37; 95% CI, 0.07 to 0.66; Z=2.41; p=0.02; I2=0%; fixed effects model) and active pain scores (SMD=0.55; 95% CI, 0.25 to 0.85; Z=3.60; p<0.001; I2=0%; fixed effects model) were statistically significantly lower in ESBP than in SAPB. There was no difference between SAPB and the other groups in terms of the incidence of postoperative nausea and vomiting. Conclusion:After a comprehensive evaluation of postoperative analgesic effects, it appears that ESBP and TPVB may be better than SABP, and SABP may be better than LIA for analgesia of patients undergoing VATS. Further studies are required to determine the optimal regional analgesia technique in VATS.en_US
dc.identifier.citationDostbil, A., Kasali, K., Aydin, Y., Ince, I., Ulas, A. B., Yilmaz, M. A., Ceren, M., Eroğlu, A., Ozgodek, H. B., Ozkal, M. S., Elsharkawy, H. (2024). Comparison of the postoperative analgesic efficacy of serratus anterior plane block with different types of blocks for video-assisted thoracoscopic surgery: A systematic review and meta-analysis of randomized controlled trials. Turkish Journal of Thoracic and Cardiovascular Surgery, 32(4), 419-435. 10.5606/tgkdc.dergisi.2024.26887en_US
dc.identifier.endpage435en_US
dc.identifier.issn1301-5680
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-85208507368
dc.identifier.scopusqualityQ3
dc.identifier.startpage419en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12939/5058
dc.identifier.volume32en_US
dc.identifier.wosWOS:001351886400008
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorInce, Ilker
dc.language.isoen
dc.publisherBaycinar Medical Publishingen_US
dc.relation.ispartofTurkish Journal of Thoracic and Cardiovascular Surgery
dc.relation.isversionof10.5606/tgkdc.dergisi.2024.26887en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAmeliyat sonrası opioid tüketimien_US
dc.subjectPostoperatif opioid consumptionen_US
dc.subjectSerratus anterior düzlem blok’uen_US
dc.subjectSerratus anterior plane blocken_US
dc.subjectSistematik derleme ve meta-analizen_US
dc.subjectSystematic review and meta-analysisen_US
dc.subjectVideo yardımlı torakoskopik cerrahien_US
dc.subjectVideo-assisted thoracoscopic surgeryen_US
dc.titleComparison of the postoperative analgesic efficacy of serratus anterior plane block with different types of blocks for video-assisted thoracoscopic surgery: A systematic review and meta-analysis of randomized controlled trials
dc.title.alternativeVideo yardımlı torakoskopik cerrahide serratus anterior düzlem blok’unun ameliyat sonrası analjezik etkinliğinin farklı blok tipleri ile karşılaştırılması: Randomize kontrollü çalışmaların sistematik derleme ve meta-analizi
dc.typeArticle

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