Bilateral Ultrasound-Guided Erector Spinae Plane Block or Serratus Anterior Plane Block For Postoperative Analgesia in Breast Reduction Surgery: A Prospective, Randomized and Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- Opioid consumption
Study Overview
Brief Summary
the aim of the study compare the analgesic effect of erector spinae block and serratus anterior block in breast surgery
Detailed Description
Breast reduction surgery is a common cosmetic surgical procedure. Providing effective analgesia has a crucial role in reducing side effects, catalyzing postoperative recovery, and increasing patient satisfaction. Regional anesthesia techniques are generally used for postoperative analgesia to decrease opioid-related side effects. Fascial plane block has gained popularity for breast analgesia. The investigator aimed to consider the effects of ESP block or Serratus Anterior Plane block on postoperative analgesia in breast reduction surgery.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Triple (Participant, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •American Society of Anesthesiologists (ASA) I-II,
- •18-65 years of age, adult,
- •female patients
- •undergoing elective breast reduction surgery
Exclusion Criteria
- •Allergy to amide-type local anesthetics
- •Infection at the block injection site
- •Severe obesity (BMI > 35 kg/m2)
- •Liver or renal deficiency
- •Patients with anatomical deformities
- •Recent use of analgesic drugs
- •Patient refusal or inability to consent
Arms & Interventions
ESP block group
Bilateral ultrasound guided erector spine plane (ESP) block will be performe preoperatively at T5 level. 20 mL local anesthetics (10 mL 0.5% bupivacaine + 10 mL serum physiologic % l) will be injected deep to the erector spinae muscle
Intervention: erector spine plane (ESP) block (Procedure)
SAP Block grup
Bilateral ultrasound guided serratus plane block with 20 ml %0,25 bupivacaine at the midaxillary 5. Rib
Intervention: Serratus Anterior Plane Block (Procedure)
Outcomes
Primary Outcomes
Opioid consumption
Time Frame: 24 hour
Tramadol consumption in Patient Controlled Analgesia device postoperative 24 hours.
Secondary Outcomes
- Remifentanil consumption(during surgery)
- Length of stay in hospital(30 days)
- Pain assessed by NRS(24 hour)
- Blooad loss(during surgery)
- Rate of opioid related side effects(24 hour)
Investigators
Leyla Kılınc
associate professor
Sisli Hamidiye Etfal Training and Research Hospital