Two ways of giving erector spinae plane block for pain relief after surgery in patients undergoing breast surgeries

Not yet recruiting

• Conditions: Malignant neoplasm of central portion of breast, (2) ICD-10 Condition: C501||Malignant neoplasm of central portion of breast,

• Registration Number: CTRI/2022/04/041615
• Lead Sponsor: Lady Hardinge Medical College

Brief Summary

Modified radical mastectomy (MRM) is most common type of surgery performed in patients of breast cancer. Regional blocks for breast surgery have reduced post-operative pain score, reduced opioid requirement, decrease post-operative nausea and vomiting and decrease duration of stay in post anesthesia care unit. 

Various regional anesthesia techniques have been described for management of post-operative pain following breast surgery like epidural administration, thoracic paravertebral block, intercostal block, brachial plexus block, pectoral nerve block, serratus anterior block and recently described erector spinae plane block (ESPB).

ESPB is a recently described ultrasound guided technique for management of acute and chronic thoracic pain. In this block, local anesthetic is injected deep to erector spinae muscle which results in blocking of ventral and dorsal rami of spinal nerve. ESPB is safe and efficacious for pain management of most of the thoracic wall structures including MRM.

Parasagittal approach of ESPB is commonly used , however identification of tip of transverse process is difficult in this approach and may lead to block failure. Recently transverse approach of ESPB has been described in which needle can be accurately positioned at the tip of transverse process. This approach also has less risk of the puncture of the lung or other visceral organs.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2022-03-29
• Study Start: 2022-08-04

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 78

Inclusion Criteria

All adult patients planned for modified radical mastectomy.

Exclusion Criteria

1.Any known allergy to the drugs used 2.Contraindication to nerve block like coagulopathy,bleeding diathesis and local infections.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Mean opioid consumption (in mg/kg) at 24 hours postoperatively in both the groups	at 24 hour post-operatively

Secondary Outcome Measures

Name	Time	Method
1. Total number of skin puncture to perform the block.	2. Proportion of patients developing complications related to block like hematoma, pleural puncture etc

Trial Locations

Locations (1)

Lady hardinge medical college; 🇮🇳 Central, DELHI, India

Lady hardinge medical college

🇮🇳Central, DELHI, India

Sakahi Kiran

Principal investigator

6200612553

sakshikiran003@gmail.com