Onur SELVİ
(Maltepe Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon, İstanbul, Türkiye)
Serkan TULGAR
(Maltepe Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon, İstanbul, Türkiye)
Özgür ŞENTÜRK
(Maltepe Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon, İstanbul, Türkiye)
Talat Ercan SERİFSOY
(Maltepe Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon, İstanbul, Türkiye)
David Terence THOMAS
(Maltepe Üniversitesi, Tıp Fakültesi, Tıp Eğitimi Bölümü, İstanbul, Türkiye)
Uğur DEVECİ
(Maltepe Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, İstanbul, Türkiye)
Zeliha ÖZER
(Maltepe Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon, İstanbul, Türkiye)
Yıl: 2020Cilt: 52Sayı: 1ISSN: 1308-8734 / 1308-8742Sayfa Aralığı: 34 - 37İngilizce

14 0
Is a Combination of the Serratus Intercostal Plane Block and Rectus Sheath Block Superior to the Bilateral Oblique Subcostal Transversus Abdominis Plane Block in Laparoscopic Cholecystectomy?
Objective: The serratus intercostal plane block (SIPB) is a recently defined interfascial plane block. The oblique subcostal transversus abdominis plane block (OSTAP) is another type of interfascial plane block, and it is also used as a part of multimodal analgesia in patients undergoing laparoscopic cholecystectomy (LC). In this retrospective study, we evaluated the effects of the bilateral OSTAP and a combination of the right SIPB and bilateral rectus sheath block (RSB) on the postoperative pain and analgesia requirement in patients undergoing LC. Materials and Methods: Data of the patients who underwent LC between May 2018 and November 2018 were evaluated retrospectively. Postoperative pain was evaluated using the numeric rating scale (NRS), and 24-hour tramadol consumption and rescue analgesia requirements were compared. Results: Bilateral OSTAP was applied to 47 patients, and SIPB+RSB was applied to 25 patients. Postoperative pain scores were similar between the two groups. In the first 24 hours, tramadol requirement in the SIPB+RSB group was significantly lower than in the OSTAP block group (p<0.001). There was no statistically significant difference between the NRS averages at different time frames between the two block groups. Conclusion: We found that when SIPB is used as a part of multimodal analgesia in a combination with RSB in LS, it improves the quality of analgesia and decreases the analgesic requirement compared to patients undergoing a bilateral OSTAP block. Randomized controlled trials are necessary to compare the effects of SIPB alone and in a combination with other blocks in LC.
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