Comparison of Interpectoral+Serratus Anterior Block With Erector Spinae Block in Minimally Invasive Cardiac Surgery

Adequate pain management after minimally invasive cardiac surgery is essential for early ambulation and patient satisfaction. However, an incision similar to thoracotomy surgery is made by entering between the ribs, and a severely painful postoperative period is experienced as the intercostal nerves are cut.Invasive cardiac surgery is necessary surgery that can take steps to improve the quality of life and functional status of patients without sternotomy. However, patients may experience intense pain in the immediate postoperative period, which can lead to inactivity, increased risk of complications, and greater consumption of opioids, resulting in adverse effects and prolonged hospital stays. Pain management is challenging due to a large number of dermatomes covered.Interpectoral plane block + serratus anterior plane block, defined in 2012, has been used in many studies before as part of multimodal analgesia in minimally invasive cardiac surgery. Erector spinae block was also described in 2018 with positive results, which has been used in both sternotomies (open heart surgery) and minimally invasive procedures. Minimally invasive cardiac surgery can be excruciating in the postoperative period, just like thoracotomy surgeries. What is aimed in this study is to compare two previously known regional anesthesia techniques in this study.

Inclusion Criteria:Patients who will undergo cardiac surgery for the first timeASA I-II (American Society of Anesthesiology classification) patients between the ages of 18-75Patients with an average bleeding profilePatients who gave written consent to participate in the studyPatients without local anesthetic allergy and a historyPatients who have the intellectual level to use the patient-controlled analgesia deviceExclusion Criteria:Patients who have undergone open heart surgery before undergoing valve replacement and revisionPatients who did not agree to participate in the studyPatients with cancer primarilyPatients with local anesthetic allergy and a historyPatients who do not have the intellectual level to use a patient-controlled analgesia devicePatients with abnormal bleeding profilePatients who were re-operated due to any surgical complication (bleeding, etc.) within the 24th hour after the operation