Cardiothoracic & vascular anesthesia
Deep Serratus Anterior Plane Block for Multimodal Analgesia in Minimally Invasive Mitral Valve Surgery Performed via Right Anterior Mini-Thoracotomy
Authors' conclusion
The SAPB may be effective in reducing the postoperative use of opioids in patients undergoing minimally invasive mitral valve surgery.
Study context
- Population
- Patients admitted to the intensive care unit (ICU) of the University Hospital of Siena (Italy) after isolated minimally invasive mitral valve surgery via right anterior mini-thoracotomy
- Participants
- 105 patients
- Exposure
- Single-shot serratus anterior plane block (SAPB) vs IV opioids for postoperative analgesia
- SAPB-Gn = 50
- OP-Gn = 55reference
- Outcome
- Patients receiving opioid rescue doses
- Follow-up
- First 24 hours
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
P < 0.001
Observational data: associations, not effects.
Further findings
BPS/BPS-NI score >4 · 24 hours after ICU admission
P = 0.048
| Outcome | SAPB-G | OP-G | P value |
|---|---|---|---|
| RASS score · 8 hours after ICU admissionHigher in SAPB-G | 0 (bracketed spread 0–0) | −2 (bracketed spread −3–0) | P < 0.001 |
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Deep Serratus Anterior Plane Block for Multimodal Analgesia in Minimally Invasive Mitral Valve Surgery Performed via Right Anterior Mini-Thoracotomy. J Cardiothorac Vasc Anesth. Published 27 December 2024. doi:10.
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