Comparison of postoperative analgesic efficacy of ultrasound guided modified pectoralis plane block and serratus anterior plane block in benign breast surgery – A randomized controlled trial

This is a randomised controlled trial aiming to compare postoperative analgesic efficacy of two ultrasound guided modified pectoralis plane block and serratus anterior plane block in 80 female patient undergoing elective benign breast surgeries conducted at sri manakula vinayagr medical college and hosptal ,the study assesses pain relief by monitoring VAS and analgesic consumption postoperatively .Participants are randomly assigned into two equal groups Group A receiving PECS block and group B receiving SAP block both 20 ml of 0.25% bupivacaine with 8mg dexamethasone.The methodology involves strict aseptic technique and ultrasound guidance for block administration.standardized anaesthesia protocol are followed,including I gel insertion and maintained with sevoflurane ,oxygen,nitrous oxide ,postoperative pain assessed at multiple time over period of 24 hrs,with rescue analgesia administered if VAS more than 4 .Statiscal analysis using SPSS will compare pain score,time to first analgesia and total analgesic use.Ethical consideration incuded informed consent ,confidentiality,risk minimization and non monentary compensation for adverse events,with categorised as low risk and approved by IEC.This literature review support to study rationalae ,citing previous trials where both blocks improved analgesia and reduced opioid use .studies by Magoon,wang and other highlight the effectiveness of these blocks in thoracic and breast surgeries