Cardiothoracic & vascular anesthesia

Superficial vs. deep serratus anterior plane block for analgesia in patients undergoing single-port video-assisted thoracoscopic surgery: A randomized prospective trial

J Clin AnesthPublished Randomised controlled trial

Authors' conclusion

For patients undergoing single-port VATS lobectomy, SSAPB was associated with reduced opioid consumption and lower pain scores compared to DSAPB.

Study context

Population
Patients undergoing single-port video-assisted thoracoscopic surgery (VATS) under GA, single university teaching hospital
Participants
80 patients
Comparison
Superficial SAPB vs deep SAPB
Primary endpoint
Opioid consumption
Follow-up
Within 24 h after surgery
Methodological detailsprospective, single-centre
  • Prospective
  • Single-centre

Primary result

As reported in the abstract

Total opioid consumption
  • Group S vs Group D: P = 0.001

Secondary outcomes

OutcomeP value
Pain scores at rest and on coughing · 6 h after surgeryGroup S vs Group D · lower in Group S at restP = 0.000
Pain scores at rest and on coughing · 6 h after surgeryGroup S vs Group D · lower in Group S on coughingP = 0.000
Pain score on coughing · 12 h after surgeryLower in Group SP = 0.000

Postoperative pain scores, other time points

No difference between the two groups

Original publication

Superficial vs. deep serratus anterior plane block for analgesia in patients undergoing single-port video-assisted thoracoscopic surgery: A randomized prospective trial. J Clin Anesth. Published 31 July 2025. doi:10.1016/j.jclinane.2025.111950

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