Analgesic efficacy of the serratus anterior plane block in rib fractures pain: A randomized controlled trial

• Published in: The American journal of emergency medicine 2021-03, Vol.41, p.16-20
• Main Authors: Tekşen, Şeyma, Öksüz, Gözen, Öksüz, Hafize, Sayan, Muhammed, Arslan, Mahmut, Urfalıoğlu, Aykut, Gişi, Gökçe, Bilal, Bora
• Format: Article
• Language: English
• Subjects: Adult; Aged; Analgesia; Analgesics; Analgesics, Opioid - administration & dosage; Anesthesia; Chronic pain; Emergency medical care; Epidural; Female; Fractures; Humans; Male; Middle Aged; Narcotics; Nerve Block - methods; Normal distribution; Ostomy; Pain; Pain - etiology; Pain management; Pain Management - methods; Pain perception; Patients; Prospective Studies; Rib cage; Rib fracture; Rib Fractures - complications; Serratus anterior plane block; Thoracic surgery; Time Factors; Tramadol; Tramadol - administration & dosage; Treatment Outcome
• ISSN: 0735-6757; 1532-8171
• DOI: 10.1016/j.ajem.2020.12.041

Serratus anterior plane block (SAPB) was evaluated that in patients with the complaint of rib fracture pain in terms of total analgesic consumption and pain scores. Sixty patients with rib fracture and NRS (Numeric Rating Scala) pain scores equal or greater than four were included in randomized controlled study. Patients were randomized to perform SAPB or control group. Primary outcome was total tramadol consumption in 24 h. Secondary outcomes were NRS scores (after Patient Controlled Analgesia (PCA) application 30 min, first, second, 4 th, 6 th, 12 th, 24 th hour), peripheral oxygen saturation (first and 24 th hour after PCA application), chronic pain. and complications. The total tramadol consumption significantly lower in group S (p = 0.02). NRS scores after 30 min, 1 h, 2 h, 4 h, 6 h, 12 h, and 24 h were significantly lower in group S than in group C (p