Ultrasound guided serratus anterior plane block for pain relief after Mastectomy (breast surgeries)

Not yet recruiting

Brief Summary: The use of ultrasound in regional anaesthesia has facilitated the visualisation of anatomical structures,needle advancement and the spread of local anaesthetic.This has led to the further refinement of fascial plane blocks,in which the local anaesthetic is injected into a tissue plane rather than around individual nerves.Introduces by Blanco et al,Serratus Anterior Plane block is a novel form of ultrasound guided regional anaesthesia fascial plane block that can achieve paraesthesia of the hemithorax.This study evaluates the analgesic efficacy of Serratus Anterior Plane block on acute pain after Mastectomy.The study participants are divided into two groups. Group-A is control group where no block will be given, Group-B is Serratus Anterior Plane block group, these participants after intubation they will be getting block under ultrasound guidance.At the end of the surgery, post extubation following transfer to PACU,both groups will be getting Intravenous Inj.Morphine using Patient Controlled Analgesia pump. The primary outcome of this study is to compare cumulative opioid consumption in both groups. The secondary outcome is to assess the analgesic efficacy using Visual Analog Scale.

Recruitment & Eligibility

Inclusion Criteria

ASA status I to III patients posted for Mastectomy.

Exclusion Criteria

1.Refusal to participate in the study 2.Age less than 18 years.
3.ASA class IV and V 4.Known coagulation disorders.
5.Allergy to Local anaesthetics.
6.Unconscious or mentally incompetent prior to surgery 7.Pregnancy 8.Hemodynamic instability (SBP less than 90mmHG,MAP less than 60mmHG).

Primary Outcome Measures

Name	Time	Method
To compare cumulative opioid consumption in both groups	24 hours post surgery

Secondary Outcome Measures

Name	Time	Method
To assess analgesic efficacy using Visual Analog Scale	Visual Analog Scale score at 15mins,1hr,2hr,4hs,8hr,12hr,16hr,20hr and 24hr intervals shall be monitored

Locations (1): Sri Ramachandra Institute of Higher Education and Research
🇮🇳
Chennai, TAMIL NADU, India
Sri Ramachandra Institute of Higher Education and Research
🇮🇳Chennai, TAMIL NADU, India
Dr V Niraimozhi
Principal investigator
7639151595
m2320019@sriramachandra.edu.in