Pectus Excavatum
Conditions
Keywords
Transversus thoracic muscle plane block, postoperative analgesia, pectus excavatum
Brief summary
The most important problem in the postoperative period in patients scheduled for pectus deformity correction surgery is pain. Due to the catastrophic neurological complications of thoracic epidural analgesia, the tendency towards plane blocks has been increasing in recent years. Serratus Plane Block (SAP Block), performed under ultrasound guidance, is used to treat pain in thoracic surgery. However, whether it has an effect on sternum pain is still controversial and there are not enough studies. Transversus thoracic plane block (TTP Block) provides effective analgesia in sternotomies. For this reason, we aimed to show that the TTP block added to the SAP block will provide more effective analgesia in order to provide adequate analgesia for the pressure and pain sensation of the bars placed on the sternum in pectus surgery.
Detailed description
The most important problem in the postoperative period in patients scheduled for pectus deformity correction surgery is pain. It is very important for patients to start active breathing exercises and mobilize early. Complications develop less frequently in patients who actively breathe and mobilize early. The tolerability of the surgery by the patient and the absence of pain in the postoperative period ensure early discharge . Due to the catastrophic neurological complications of thoracic epidural analgesia, the tendency towards plane blocks has been increasing in recent years. Serratus Plane Block (SAP Block), performed under ultrasound guidance, is used to treat pain in thoracic surgery. However, whether it has an effect on sternum pain is still controversial and there are not enough studies. Transversus thoracic plane block (TTP Block) provides effective analgesia in sternotomies. For this reason, we aimed to show that the TTP block added to the SAP block will provide more effective analgesia in order to provide adequate analgesia for the pressure and pain sensation of the bars placed on the sternum in pectus surgery.
Interventions
PROCEDUREno intervention,this is a observational studies
no intervention,this is a observational studies
Sponsors
Başakşehir Çam & Sakura City Hospital
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
15 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients who will undergo surgery due to pectus deformity All patients over the age of 15 who will be operated on due to pectus deformity
Exclusion criteria
* Known allergy to local anesthetics, * Uncooperative patient, * The patient who refuses to participate in the study, * Patients under 18 years of age.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effect of Serratus Anterior Plane Block and Transthoracic Plane Block Combination on Postoperative Analgesia in Pectus Surgery | postoperative 48 hours | Serratus Plane Block (SAP Block), performed under ultrasound guidance, is used to treat pain in thoracic surgery. However, whether it has an effect on sternum pain is still controversial and there are not enough studies. Transversus thoracic plane block (TTP Block) provides effective analgesia in sternotomies. For this reason, TTP block will be added to the SAP block in order to provide adequate analgesia for the pressure and pain sensation of the bars placed on the sternum in pectus surgery. The patient's pain score will be evaluated with the Numerical Rating Scale (NRS). Hourly pain scores in the postoperative period are 0./1./4./6./12./18./24./48. Additional complications |
| Postoperative Analgesia in Pectus Surgery | postoperative 48 hours | Total amount of analgesia for 48 hours, |
| Postoperative pain in Pectus Surgery | postoperative 48 hours | Presence of need for additional analgesics, |
Countries
Turkey (Türkiye)
Contacts
Primary ContactCANSU KILINÇ BERKTAŞ
Outcome results
None listed