Serratus Plane Block Versus Serratus Plane Block Plus Parasternal Block Combination for Breast Surgery
Study Details
Study Description
Brief Summary
Mastectomy is a technique often used in breast cancer surgery. Patients experience moderate to severe pain postoperatively after this procedure. Various plane blocks, NSAIDs, and opioid analgesics can be administered to these patients as components of multimodal analgesia. In the the study, the investigators aimed to evaluate the analgesic effects of the serratus plane block, the parasternal block added to the serratus plane block, and the dermatomal differences.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Placebo Comparator: group serratus preoperative superficial serratus block with local anaesthetics and parasternal block with saline |
Other: group serratus plan block
preoperativelly, Superficial Serratus Block performed with 30 ml %0.25 Bupivacaine and Parasternal Block performed with 10 ml saline
|
Active Comparator: group serratus and parasternal preoperative superficial serratus block and parasternal block with local anaesthetics |
Other: group serratus and parasternal plan block
preoperativelly, Superficial Serratus Block performed with 30 ml %0.25 Bupivacaine and Parasternal Block performed with 10 ml %0.25 Bupivacaine
|
Outcome Measures
Primary Outcome Measures
- Postoperative opioid consumption [first 24 hours]
First 24 hours total fentanyl consumption with patient controlled analgesia
Secondary Outcome Measures
- Visual analog pain score [First 24 hours]
Post operative pain will be evaluated with a Visual Analogue Scale (between 0-10; 0: no pain, 10:worst pain) score
- Sensory Assessment [24 hours]
Sensory Assessment will be performed on patients following the block procedure with pinprick test.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
American Society of Anesthesiologist's physiologic state I-III patients
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To undergo Mastectomy Surgery
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Being between the ages of 18-65 years
Exclusion Criteria:
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Having a known heart, kidney, liver or hematological disease
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Having a history of peptic ulcer, gastrointestinal bleeding, allergy, chronic pain
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Routine analgesic use and history of analgesic use in the last 24 hours
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Not willing to participate in the study
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Uncooperative patients who have coagulopathy or use anticoagulant drugs
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To be allergic to one of the drugs to be used
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Ali Ahiskalioglu | Erzurum | Turkey | 25100 |
Sponsors and Collaborators
- Ataturk University
Investigators
- Study Director: Hüsnü Kürşad, Ataturk University
Study Documents (Full-Text)
None provided.More Information
Publications
- Hu NQ, He QQ, Qian L, Zhu JH. Efficacy of Ultrasound-Guided Serratus Anterior Plane Block for Postoperative Analgesia in Patients Undergoing Breast Surgery: A Systematic Review and Meta-Analysis of Randomised Controlled Trials. Pain Res Manag. 2021 Oct 25;2021:7849623. doi: 10.1155/2021/7849623. eCollection 2021.
- Piraccini E, Biondi G, Corso RM, Maitan S. The use of rhomboid intercostal block, parasternal block and erector spinae plane block for breast surgery. J Clin Anesth. 2020 Feb;59:10. doi: 10.1016/j.jclinane.2019.06.004. Epub 2019 Jun 6. No abstract available.
- ataunibreastanalgesia