Usefulness of ultrasound-guided serratus-anterior block in prevention of postoperative pain after breast surgery. A cohort study

To evaluate superficial serratus anterior plane block's efficacy and side effects in preventing postoperative pain after breast cancer surgery. A prospective cohort study was conducted on 195 adult patients undergoing breast oncological surgery under general anesthesia (Group G, n = 96) or comb...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2024-05, Vol.93, p.111360-111360, Article 111360
Main Authors: Perez-Herrero, Maria A., Fajardo Perez, Mario, Yamak Altinpulluk, Ece, Ergonenc, Tolga
Format: Article
Language:English
Subjects:
Acute postoperative pain
Adult
Analgesics
Body mass index
Breast cancer
Breast Neoplasms - complications
Breast Neoplasms - surgery
Breast surgery
Cohort analysis
Cohort Studies
Female
General anesthesia
Humans
Mastectomy
Narcotics
Pain
Pain, Postoperative - etiology
Pain, Postoperative - prevention & control
Patients
Postoperative pain
Postoperative period
Prospective Studies
Regional anesthesia
Surgery
Surgical outcomes
Surgical techniques
Ultrasonic imaging
Ultrasonography, Interventional
Variables
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Summary:To evaluate superficial serratus anterior plane block's efficacy and side effects in preventing postoperative pain after breast cancer surgery. A prospective cohort study was conducted on 195 adult patients undergoing breast oncological surgery under general anesthesia (Group G, n = 96) or combined general anesthesia with superficial serratus anterior plane block (Group L, n = 99). Validated preoperative data, which are predictors of chronic postoperative pain of patients, were recorded (type of surgery, age, pain in the area of the intervention and the other regions; anesthetic-surgical data, analgesic doses used, duration of surgery; pain intensity (EVN scale) at immediate postoperative period, 24 h, seven days and one month after the surgery, and complications. Pain intensity, measured by the EVN scale, had a mean of 1.02 +/− 1.656 in the Postoperative Unit; 1.20 +/− 1.448 at 24 h; 0.76 +/− 1208 seven days; and 0.34 +/− 0.757 one month after surgery. Patients were operated under general anesthesia (n = 96) or general anesthesia combined with the interfascial block (n = 99). Significant differences (p 
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2023.111360