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Ultrasound-guided serratus anterior plane block enhances postoperative analgesia and recovery in thoracoscopic surgery

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World Journal of Clinical Cases 2024年第19期12卷 3717-3724页

作者： Jing-Jing Zhang Shao-Lin Wang Lei He Ding-Dong Yang Wei Qian Ying Zhao Department of Anaesthesiology The Second People’s Hospital of WuhuWuhu 241000Anhui ProvinceChina

BACKGROUND The serratus anterior muscle,located in the lateral aspect of the thorax,plays a crucial role in shoulder movement and *** surgery,while minimally invasive,often results in significant postoperative pain,complicating patient recovery and potentially extending hospital *** anesthesia methods may not adequately address this pain,leading to increased complications such as agitation due to inadequate pain *** To evaluate the application value of ultrasound-guided serratus anterior plane block(SAPB)in patients undergoing thoracoscopic surgery,focusing on its effects on postoperative analgesia and *** Eighty patients undergoing thoracoscopic surgery between August 2021 and December 2022 were randomly divided into two groups:An observation group receiving ultrasound-guided SAPB and a control group receiving standard care without *** groups underwent general anesthesia and were monitored for blood pressure,heart rate(HR),oxygen saturation,and *** primary outcomes measured included mean arterial pressure(MAP),HR,postoperative visual analogue scale(VAS)scores for pain,supplemental analgesic use,and incidence of *** The observation group showed significantly lower cortisol and glucose concentrations at various time points post-operation compared to the control group,indicating reduced stress ***,MAP and HR levels were lower in the observation group during and after *** scores were significantly lower in the observation group at 1 h,4 h,6 h,and 12 h post-surgery,and the rates of analgesic supplementation and agitation were significantly reduced compared to the control *** Ultrasound-guided SAPB significantly improves postoperative analgesia and reduces agitation in patients undergoing thoracoscopic *** technique stabilizes perioperative vital signs,decreases the need for supplemental analgesics,and minimizes postoperative pain and str

关键词： Ultrasonic guidance serserus anterior plane block Thoracoscopic surgery Postoperative analgesia

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