{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T05:34:19Z","timestamp":1793684059973,"version":"4.5.1"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Managing pain after thoracic surgery is crucial and the traditional methods have many adverse effects. We aimed to evaluate serratus anterior plane block (SAPB) and erector spinae plane block (ESPB) in acute pain control in thoracic cancer surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This randomised controlled, triple-blind study was performed on 90 patients, between 18 and 70 years old, scheduled for elective thoracic cancer surgery. Patients were allocated into three equal groups: Control group: received sham ESPB and sham SAPB. SAPB group received SAPB (20 ml bupivacaine 0.5%) and sham ESPB. ESBP group received ESPB (20 ml bupivacaine 0.5%) and sham SAPB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Postoperative morphine consumption was significantly lower in ESBP and SAPB groups than control group [ESPB (8.52 \u00b1 4.29 mg) &lt; SAPB (19.57 \u00b1 7.63 mg) &lt; control (36.37 \u00b1 8.27 mg)] (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Numerical rating scale pain score was comparable among the groups at rest, but was significantly lower at 30 min, 2, 4 h in ESPB and SAPB groups, than control group on coughing. The scores were better in SAPB compared to control group till 4 h. At 8, 12, 24 h, the difference between control and SAPB groups became insignificant, but it remained the least in ESPB group. Postoperative forced vital capacity and forced expiratory volume in the first second after 24 h were the best in ESPB group and better in SAPB group compared to the control group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both ESPB and SAPB reduced intraoperative and postoperative opioid consumptions and postoperative dynamic pain scores with improved postoperative pulmonary functions in thoracic surgery with the ESPB being superior.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ija.ija_257_21","type":"journal-article","created":{"date-parts":[[2022,2,24]],"date-time":"2022-02-24T02:58:21Z","timestamp":1645671501000},"page":"119-125","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":28,"title":["Serratus anterior plane block and erector spinae plane block in postoperative analgesia in thoracotomy: A randomised controlled study"],"prefix":"10.4103","volume":"66","author":[{"given":"Mohamed Elsayed","family":"Hassan","sequence":"first","affiliation":[{"name":"Department of Anesthesia, Surgical Intensive Care Unit and Pain Management, National Cancer Institute, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Abd Alfattah","family":"Wadod","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Surgical Intensive Care Unit and Pain Management, National Cancer Institute, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,2,24]]},"reference":[{"key":"B1-20240902","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1186\/s13019-019-0901-3","article-title":"Assessment of postoperative pain management and comparison of effectiveness of pain relief treatment involving paravertebral block and thoracic epidural analgesia in patients undergoing posterolateral thoracotomy","volume":"14","author":"Wojty\u015b","year":"2019","journal-title":"J Cardiothorac Surg"},{"key":"B2-20240902","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1097\/00000542-200603000-00027","article-title":"Preventing and treating pain after thoracic surgery","volume":"104","author":"Gottschalk","year":"2006","journal-title":"Anesthesiology"},{"key":"B3-20240902","doi-asserted-by":"crossref","first-page":"e15385","DOI":"10.1097\/MD.0000000000015385","article-title":"The effects of ultrasound-guided serratus plane block, in combination with general anesthesia, on intraoperative opioid consumption, emergence time, and hemodynamic stability during video-assisted thoracoscopic lobectomy:A randomized prospective 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anterior plane block for minimally invasive thoracic surgery:A randomised clinical trial","volume":"125","author":"Finnerty","year":"2020","journal-title":"Br J Anaesth"},{"key":"B10-20240902","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1111\/anae.12344","article-title":"Serratus plane block:A novel ultrasound-guided thoracic wall nerve block","volume":"68","author":"Blanco","year":"2013","journal-title":"Anaesthesia"},{"key":"B11-20240902","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1097\/AAP.0000000000000555","article-title":"\u201cA tale of two planes\u201d:Deep versus superficial serratus plane block for postmastectomy pain syndrome","volume":"42","author":"Piracha","year":"2017","journal-title":"Reg Anesth Pain Med"},{"key":"B12-20240902","doi-asserted-by":"crossref","first-page":"953","DOI":"10.2147\/JPR.S191263","article-title":"Ultrasound-guided serratus anterior plane block for analgesia after thoracic surgery","volume":"12","author":"Semyonov","year":"2019","journal-title":"J Pain Res"},{"key":"B13-20240902","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.4103\/ija.IJA_566_20","article-title":"A randomised controlled comparison of serratus anterior plane, pectoral nerves and intercostal nerve block for post-thoracotomy analgesia in adult cardiac surgery","volume":"64","author":"Magoon","year":"2020","journal-title":"Indian J Anaesth"},{"key":"B14-20240902","doi-asserted-by":"crossref","first-page":"e20286","DOI":"10.1097\/MD.0000000000020286","article-title":"The serratus anterior plane block for analgesia after thoracic surgery:A meta-analysis of randomized controlled trails","volume":"99","author":"Liu","year":"2020","journal-title":"Medicine"},{"key":"B15-20240902","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1007\/s12630-017-1010-1","article-title":"Erector spinae plane block for the management of chronic shoulder pain:A case 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A narrative review","volume":"1","author":"L\u00f3pez","year":"2018","journal-title":"Cent Eur J Clin Res"},{"key":"B17-20240902","doi-asserted-by":"crossref","first-page":"174","DOI":"10.21037\/atm.2019.03.53","article-title":"Ultrasound-guided preoperative single-dose erector spinae plane block provides comparable analgesia to thoracic paravertebral block following thoracotomy:A single center randomized controlled double-blind study","volume":"7","author":"Fang","year":"2019","journal-title":"Ann Transl Med"},{"key":"B18-20240902","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1097\/AAP.0000000000000451","article-title":"The erector spinae plane block:A novel analgesic technique in thoracic neuropathic pain","volume":"41","author":"Forero","year":"2016","journal-title":"Reg Anesth Pain Med"},{"key":"B19-20240902","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.jclinane.2019.06.036","article-title":"Erector spinae plane block and thoracic paravertebral block for breast surgery compared to IV-morphine:A randomized controlled trial","volume":"59","author":"G\u00fcrkan","year":"2020","journal-title":"J Clin Anesth"},{"key":"B20-20240902","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.4103\/ija.IJA_310_19","article-title":"Role of erector spinae plane block versus paravertebral block in pain control after modified radical mastectomy. A prospective randomised trial","volume":"63","author":"El Ghamry","year":"2019","journal-title":"Indian J Anaesth"},{"key":"B21-20240902","first-page":"17","article-title":"Preventive analgesia for postoperative pain control:A broader concept","volume":"7","author":"Vadivelu","year":"2014","journal-title":"Local Reg"}],"container-title":["Indian Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_257_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:26:46Z","timestamp":1786724806000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_257_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ija.ija_257_21","relation":{},"ISSN":["0019-5049","0976-2817"],"issn-type":[{"value":"0019-5049","type":"print"},{"value":"0976-2817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2]]},"assertion":[{"value":"2021-03-27","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-10","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}