A COMPARATIVE STUDY OF OF EFFICACY OF ULTRASOUND GUIDED SUPERFICIAL SERRATUS ANTERIOR PLANE BLOCK VS DEEP SERRATUS ANTERIOR PLANE BLOCK FOR POSTOPERATIVE ANALGESIA IN PATIENTS UNDERGOING MASTECTOMY.

Phase 3

Not yet recruiting

Conditions: Medical and Surgical,

Registration Number: CTRI/2023/12/060443

Lead Sponsor: VIJAYANAGAR INSTITUTE OF MEDICAL SCIENCES

Brief Summary: Breast Surgery isincreasingly common in women. Surgical incision at the breast and axillaryareas is associated with significant pain, with high incidence ofacute pain progressing to chronic pain in 25-60% of patients. Post-mastectomypain managed solely with opioids often leads to side effects of nausea andvomiting, respiratory depression. Therefore,regional analgesic techniques are advocated for effective pain management as they have opioidsparing effect.

Much data hassupported the efficacy of paravertebral blocks in thoracic analgesia,however they are not without risks. In recent years, there has been a need forsimple, safe, and effective plane block, and the serratus anterior plane blockis one that provides ipsilateral anesthesia of the hemithorax andis known to produce better post op analgesia over other blocks. Deep serratusanterior plane block is the recently described and associated with better NRS scoresfor pain on rest and coughing and prolonged duration of analgesia aftermodified radical mastectomy than that of superficial anterior plane block.

However, comparativestudies of analgesic efficacy of superficial and deep serratus anterior plane blocksremains limited and hence this study was undertaken.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 74

Inclusion Criteria

PATIENTS OF 18-70 YEARS OF AGE, OF EITHER SEX, POSTED FOR ELECTIVE MASTECTOMY UNDER GENERAL ANAESTHESIA PATIENTS WITH NORMAL CARDIOPULMONARY FUNCTION ASA PHYSICAL STATUS 1 AND 2.

Exclusion Criteria

REFUSAL BY THE PATIENTS PATIENTS WITH DERANGED COAGULATION PROFILE OR HAVING BLEEDING DIATHESIS PATIENTS WITH OPIOID CONSUMPTIONS PREOPERATIVELY HISTORY PF LOCAL INFECTION AND CHEST WALL DEFORMITIES PATIENTS WITH FAMILY HISTORY OF NEURAL DISEASES PATIENTS WITH ALLERGY TO STUDY DRUGS.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
DURATION OF POSTOPERATIVE ANALGESIA	24hours

Secondary Outcome Measures

Name	Time	Method
TIME OF FIRST RESCUE ANALGESIA	TOTAL DOSE OF RESCUE ANALGESIA IN FIRST 24 HOURS POSTOPERATIVE HOURS

Trial Locations

Locations (1): VIJAYANAGAR INSTITUTE OF MEDICAL SCIENCES
🇮🇳
Bellary, KARNATAKA, India
VIJAYANAGAR INSTITUTE OF MEDICAL SCIENCES
🇮🇳Bellary, KARNATAKA, India
DR ROHIT HALLI
Principal investigator
7676349223
rohithalliglb@gmail.com