Open AccessSerratus anterior plane block for cardiothoracic surgeries: a meta-analysis of randomized trials
Author(s) -
Tarek Mostafa,
Ahmed M Abd El-Hamid,
Basem Abdelgawad,
Dina Hosny Elbarbary
Publication year - 2021
Publication title -
ain shams journal of anesthesiology
Language(s) - English
Resource type - Journals
eISSN - 2090-925X
pISSN - 1687-7934
DOI - 10.1186/s42077-021-00195-x
Subject(s) - medicine , nausea , meta analysis , randomized controlled trial , analgesic , vomiting , cardiothoracic surgery , anesthesia , surgery , postoperative nausea and vomiting
Background Comparison of serratus anterior plane block to different analgesic methods for anterolateral thoracic wall incisions. Meta-analysis was used to address this concern. Authors systemically searched the MEDLINE, EMBASE, PubMed, and Cochrane databases to identify all published randomized and prospective clinical trials, comparing the SAPB with other methods that used for analgesia in different thoracic surgical procedures and trauma. Results Ten studies were identified for inclusion in this study, involving a total of 735 patients. Meta-analysis showed that, compared with thoracic wall analgesia and PCA methods, the SAPB group resulted in a significant decrease in pain scores, significant decrease in consumption of analgesic drugs, and a significant decrease in the incidence of nausea and vomiting with no difference in the rate of hypotension. Conclusions The use of SAPB in cardiothoracic surgery and trauma is a safe and effective option for thoracic analgesia.