Comparison of the Analgesic Efficacy of Ultrasound-guided Serratus Anterior Plane Block and Serratus Posterior Superior Intercostal Plane Block for Breast Surgery: a Randomized Controlled Trial
- Conditions
- Analgesia
- Interventions
- Registration Number
- NCT06436599
- Lead Sponsor
- Mustafa Burgac
- Brief Summary
The application of regional anaesthetic procedures in breast surgery is associated with a lower incidence of chronic pain, reduced morbidity, shorter hospital stay and less opioid requirement. Therefore, we aimed to compared the postoperative analgesic efficacy of Serratus Anterior Plan Block and Serratus Posterior Superior Intercostal Plan Block in breast surgery.
- Detailed Description
Breast surgery is one of the most common operations performed by General Surgery and may be associated with acute postoperative pain. Acute postoperative pain is an independent risk factor for the development of chronic pain after mastectomy. Various regional anaesthetic procedures have been tried to achieve better acute pain control and thus less chronic pain. The use of regional anaesthetic procedures in breast surgery is associated with a lower incidence of chronic pain, reduced morbidity, shorter hospital stay and less opioid requirement.
Interfascial plane blocks have become popular because they are easy to perform and safe. Since interfascial plan blocks are based on the injection of local anaesthetic between two fasciae, the complication rate such as nerve damage is very low. With this method, effective analgesia can be provided in various areas such as abdominal, thoracic and lumbar regions while reducing opioid consumption and avoiding neuraxial methods.
In randomised controlled trials investigating the efficacy of Serratus Anterior Plane Block for postoperative analgesia management after breast surgery, adequate analgesia was reported.
Serratus posterior superior intercostal plan block, a newly defined interfascial plan block, has been shown to provide a wide sensory blockade between intercostal muscles. Postoperative analgesic efficacy has been demonstrated in thoracic, breast and shoulder surgeries.
The aim of our study was to compared the postoperative analgesic efficacy of Serratus Anterior Plan Block and Serratus Posterior Superior Intercostal Plan Block in breast surgery.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 62
- unilateral mastectomy(modified radial mastectomy)
- ASA I-III risk group
- Coagulopathy
- Wound and infection in the block area
- Local anaesthetic allergy
- Mental retardation
- Non-cooperative
- Pregnant patients
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Patients with serratus posterior superior intercostal plan block plane block with %0.25 30 ml bupivacaine Serratus posterior superior intercostal plane block was applied to a certain group of patients for postoperative anaesthesia. Patients with serratus anterior plan block plane block with %0.25 30 ml bupivacaine Serratus anterior plane block was applied to a certain group of patients for postoperative anaesthesia.
- Primary Outcome Measures
Name Time Method Comparison of tramadol(mg) consumption within 24 hours postoperative Using a patient-controlled analgesia device, tramadol consumption and total tramadol consumption will be compared between 0-1st hour, 1st-4th hour, 4th-8th hour, 8th-12th hour, 12th-24th hour postoperatively.
- Secondary Outcome Measures
Name Time Method Evaluation of analgesic efficacy of postoperative plan blocks with numerical pain score within 24 hours postoperative Evaluation of which of the two plan blocks is more effective in postoperative analgesia.
Postoperative pain scores will be evaluated with a numerical pain score. Evaluation will be performed postoperatively at 30. minutes, 1. hour, 4. hours, 8. hours, 12. hours and 24. hours. A lower numeric pain scale indicates a lower level of pain.perioperative remifentanil consumption perioperative The amounts (mcg) of remifantanil consumed during the surgical procedure will be compared
rescue anesthesia within 24 hours postoperative In the postoperative 24-hour period, tenoxicam will be administered and recorded as rescue analgesia to patients who feel pain despite patient-controlled nalgesia (tramadol).
postoperative nausea-vomiting (PONV) within 24 hours postoperative The number of times of nausea and vomiting in the postoperative period will be recorded and compared in both patient groups. A lower numerical value of postoperative nausea-vomiting indicates better patient comfort in the postoperative period.
surgeon and patient satisfaction (5-point Likert scale) 24 hours after surgery At postoperative discharge, 5-point Likert satisfaction questionnaire will be administered to the surgeon and the patient. A high numerical value on a five-point Likert satisfaction scale indicates that the surgeon and the patient are satisfied with the procedure performed.
Trial Locations
- Locations (1)
Istanbul Professor Doctor Süleyman Yalçın City Hospital
🇹🇷İstanbul, Turkey