Cardiothoracic & vascular anesthesia

Serratus plane block versus standard of care for pain control after totally endoscopic aortic valve replacement: a double-blind, randomized controlled, superiority trial

Reg Anesth Pain MedPublished Randomised controlled trial

Authors' conclusion

Combined deep and superficial single-injection serratus anterior plane block is superior to standard of care in reducing opioid requirements and postoperative pain intensity up to 24 hours after totally endoscopic aortic valve replacement.

Study context

Population
Patients undergoing totally endoscopic aortic valve replacementanalysed
Participants
75 patients
Comparison
Serratus anterior plane vs Control
  • Serratus anterior planen = 38
  • Controln = 37reference
Primary endpoint
Piritramide consumption
Follow-up
First 24 hours after serratus anterior plane block placement
Methodological detailsprospective, double-blinded, superiority
  • Prospective
  • Double-blinded
  • Superiority

Primary result

As reported in the abstract

24-hour cumulative opioid use (MME) · up to 24 hours

P < 0.01

Further findings

Pain scores · 4, 8 and 24 hours

Lower in the intervention arm at 4, 8 and 24 hours

Original publication

Serratus plane block versus standard of care for pain control after totally endoscopic aortic valve replacement: a double-blind, randomized controlled, superiority trial. Reg Anesth Pain Med. Published 18 August 2023. doi:10.1136/rapm-2023-104439

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