Bibliographic Details
| Title: |
Ultrasound-guided deep versus superficial continuous serratus anterior plane block for pain management in patients with multiple rib fractures: A prospective randomized double-blind clinical trial. |
| Authors: |
Mostafa, Mohamed F., Bakr, Mohamed Abdel-Moniem, Seddik, Mohamed Ismail, Mahmoud, Mohammed Mamdouh Mohammed, Ibrahim, Gamal M.A., Ahmed, Ahmed Talaat |
| Source: |
Saudi Journal of Anaesthesia; Jan-Mar2025, Vol. 19 Issue 1, p58-64, 7p |
| Subject Terms: |
RIB fractures, CONTINUOUS groups, CLINICAL trials, PAIN management, SPIROMETRY equipment |
| Abstract (English): |
Background: Efficient analgesia is the cornerstone in multiple rib fractures (MRFs) management. The serratus anterior plane block (SAPB) shows promising outcomes. However, it is still provocative whether the superficial or deep approach is more effective in the SAPB procedure. We hypothesized that the deep approach of ultrasound (US)–guided continuous SAPB could be superior for MRFs pain management. Methods: Sixty-two adult patients having unilateral MRFs, were randomized into two groups to receive continuous superficial SAPB (group S, n = 31) or continuous deep SAPB (group D, n = 31). As a primary outcome, we compared pain numeric rating scale (NRS), while total analgesic consumption, incentive spirometer volume (IS-V), lung ultrasound score (LUSS), basal and 24-h serum beta-endorphin (BE) levels, and any adverse events were secondary outcomes. Results: There was a significant reduction in NRS in favor of group D when compared to group S at 30 minutes (P = 0.001) until 12 hours (P = 0.029); total analgesic consumption was significantly lower in group D (P = 0.005). A significant increase in the median IS-V in group D compared to group S at 90 minutes (P = 0.02) and 12h postblock (P = 0.004) LUSS was significantly lower in D group at 90 min, 12 h, and 24 h (P = 0.04, 0.001, 0.031). No significant differences as regards serum BE levels. No adverse events were noted. Conclusion: Either superficial or deep continuous SAPB can be used safely and effectively in managing pain related to MRFs. Notably, the deep approach offered superior analgesia and improved deep breathing compared to the superficial. [ABSTRACT FROM AUTHOR] |
| Abstract (Arabic): |
المقال يركز على تجربة سريرية تقارن فعالية تقنيات حجب الطائرة الأمامية المسننة المستمر الموجهة بالموجات فوق الصوتية (SAPB) - العميقة مقابل السطحية - لإدارة الألم لدى المرضى الذين يعانون من كسور متعددة في الأضلاع (MRFs). أجريت الدراسة على 62 مريضًا بالغًا، ووجدت أن نهج SAPB العميق قلل بشكل كبير من درجات الألم واستهلاك المسكنات الكلي مقارنةً بالنهج السطحي خلال الـ 12 ساعة الأولى بعد الإجراء. بالإضافة إلى ذلك، حسّن النهج العميق حجم مقياس التنفس التحفيزي ودرجات الموجات فوق الصوتية للرئة، مما يدل على وظيفة تنفسية أفضل. تم اعتبار كلا التقنيتين آمنتين، مع عدم الإبلاغ عن أي أحداث سلبية، لكن SAPB العميق أظهر فوائد مسكنة متفوقة في الساعات الأولى التي تلت الحجب. [Extracted from the article] |
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Copyright of Saudi Journal of Anaesthesia is the property of Wolters Kluwer India Pvt Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| Database: |
Complementary Index |
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