From: Serratus anterior plane block for cardiothoracic surgeries: a meta-analysis of randomized trials
Study ID | Type of surgery | Study design | No. of participants | Patients characteristics | Outcomes | Level of evidence |
---|---|---|---|---|---|---|
Khalil et al., 2017 | Thoracotomy | A prospective randomized observer-blinded controlled study–single-center study | Group SAPB (n = 20) Group TEA (n = 20) | Twenty to 60 years old with ASA class II and III | VAS pain score Morphine consumption MAP & H.R. | L2 |
Ökmen & Ökmen, 2018 | Video-assisted thoracoscopic surgery | A randomized, controlled, single-blind study | Group T (IV PCA tramadol (n = 20) Group S (IV PCA tramadol + SAPB (n = 20). | 18 to 70 years old with ASA class I–III | Visual analogue scale (VAS) The quantity of tramadol Side effect additional analgesic use. | L2 |
Park et al., 2018 | Thoracoscopic surgery | A randomized, controlled blind study | Eighty-nine patients to block with 30 ml ropivacaine 0.375% (n = 44), or no block without placebo or sham procedure (n = 45). | ASA physical status I or II patients aged 20–80 years, scheduled for thoracoscopic segmentectomy or lobectomy. | Fentanyl consumption. Numeric pain rating scale (NRS) score (0–10) Nausea, vomiting, dizziness, pruritus and respiratory rates Participants satisfaction Hospital stay | L2 |
Kaushal et al., 2019 | Pediatric cardiac surgery | A prospective, randomized, single-blind, comparative study–single-center study | Group SAPB (n = 36) Group Pecs II (n = 36) Group ICNB (n = 36) | One hundred eight children with congenital heart disease requiring surgery through a thoracotomy. | Modified objective pain score (MOPS). Analgesia consumption Extubation time Adverse effects | L2 |
Saad et al., 2018 | Lung lobectomy | Randomized, controlled study–single center study | Group TPVB (n = 30) Group SAPB (n = 30) Group Control (n = 30) | Ninety patients with lung cancer scheduled for lung lobectomy | Visual analogue scale (VAS) Analgesic consumption Time of first rescue analgesic Adverse effects. | L2 |
Kim et al., 2018 | Video-assisted thoracic surgery | A randomized, triple-blind, placebo-controlled study–single center study | SAPB group (n = 42) Control group (n = 43) | Patients with 20–65 years old and ASA class of I or II, who were scheduled for elective VATS | Quality of recovery (QoR-40) score Pain scores Opioid consumption Adverse events | L2 |
Semyonov et al., 2019 | Thoracic surgery | Prospective, randomized, controlled, double-blind and single-center study | Group 1: Control group (n = 57) Group 2: SAPB group (n = 47) | One hundred four patients who underwent elective thoracotomy | Duration of PACU stay Duration of hospital stay VAS PONV scores, complications Hemodynamic variables | L2 |
Lee & Kim, 2019 | Video-assisted thoracoscopic lobectomy | Randomized, controlled, blinded study–single center study | Group G (n = 25) received conventional G.A. Group S (n = 25) received SAPB | Fifty participants, aged 20 to 75 years, undergoing VATS lobectomy | Intraoperative remifentanil consumption. Emergence time, systolic blood pressure (SBP) Hemodynamic variables Doses of rescue drugs used to control BP | L2 |
Reyad et al., 2019 | Thoracotomies | Randomized controlled trial–single center study | Group A: PCA–group (n = 44) Group B: SAPB group (n = 45) | Eighty-nine patients with chest malignancies, scheduled for thoracotomy | Assessment for the emergence of PTPS at 12 weeks VAS score Quality of life | L2 |
Hanley et al., 2020 | Videoscopic assisted thoracic surgery (VATS). | A single-centre, double-blinded, randomized, non-inferiority study–single center study | Group SAPB (n = 20) Group SPVB (n = 20) | Forty patients undergoing VATS | Opioid consumption Numerical rating scores Hemodynamic variables Side-effects Length of hospital stay Patient satisfaction | L2 |