Evidence map›Paper›PMID 39070453›Full record

ArticleCureus2024

Perioperative Analgesic Effect of Serratus Anterior Plane Block for Breast Surgery: A Randomized Control Study at a Large Teaching Hospital in Ghana.

David K Mensah, Papa Kobina G deGraft-Johnson, Ebenezer O Darkwa, Alexander Akowuah, Owusu-Sekyere Danso, George Aryee, Raymond Essuman, Robert Djagbletey

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

David K MensahAnaesthesia, Intensive Care and Pain Management, Korle-Bu Teaching Hospital, Accra, GHA.
Papa Kobina G deGraft-JohnsonAnaesthesia, Intensive Care and Pain Management, Korle-Bu Teaching Hospital, Accra, GHA.
Ebenezer O DarkwaDepartment of Anaesthesia, University of Ghana Medical School, Accra, GHA.
Alexander AkowuahAnaesthesia, Intensive Care and Pain Management, Korle-Bu Teaching Hospital, Accra, GHA.
Owusu-Sekyere DansoAnaesthesia, Intensive Care and Pain Management, Korle-Bu Teaching Hospital, Accra, GHA.
George AryeeDepartment of Anaesthesia, University of Ghana Medical School, Accra, GHA.
Raymond EssumanDepartment of Anaesthesia, University of Ghana Medical School, Accra, GHA.
Robert DjagbleteyDepartment of Anaesthesia, University of Ghana Medical School, Accra, GHA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Pain after breast surgery has been described as moderate to severe in intensity and, if inadequately treated, increases postoperative morbidity, hospital cost, and the incidence of persistent postoperative pain. Serratus anterior plane (SAP) block is an interfascial injection technique for analgesia of the chest wall. There is a lack of data with regard to its analgesic and possible opioid-sparing effects in Sub-Saharan Africa. This study aimed to determine the perioperative analgesic effect of serratus anterior plane block administered for breast surgery. Methods This was a prospective, randomized, double-blinded study involving 52 patients and was randomized into the intervention (n = 26) and control (n = 26) groups. One patient in the control group did not receive the allocated intervention, while one in the intervention group lost to follow-up. Complete data of 50 participants, comprising intervention (n=25), was used in the analysis. Patients' demographic and health characteristics, pre-induction, intra-operative, and postoperative hemodynamic parameters were noted. After induction of anesthesia, a blinded anesthetist performed an ultrasound-guided serratus anterior plane block with 0.25% plain bupivacaine or a sham block using 0.9% normal saline (control). Numerical rating scale (NRS) score and incidence of postoperative nausea and vomiting (PONV) were recorded immediately after surgery and at 1, 4, 8, and 24 postoperative hours. Patient satisfaction with analgesic management within the first 24 postoperative hours was also assessed. Results Patients who received SAP block had lower NRS scores at all measured time points, but this was only statistically significant at the fourth postoperative hour (

Indexed as

mastectomypain managementponvregional anaesthesiaserratus anterior plane block

Identifiers

PMID39070453
PMCPMC11283854

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.