Analgesic Efficacy of Combined Ultrasound-Guided PECS II and Transeversus Thoracic Plane Blocks Versus Ultrasound-Guided Serratus Anterior Plane Block in Modified Radical Mastectomy: A Prospective Randomized Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Ultrasound-Guided
- Sponsor
- Tanta University
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- The total amount rescue analgesic consumption (morphine) in the first 24 hours postoperatively.
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The aim of this study is to evaluate the analgesic efficacy of combined ultrasound (US)-guided pectoral nerve (PECS) block II and transversus thoracic plane (TTP) block versus US-guided serratus anterior plane (SAP) block in female patients undergoing modified radical mastectomy.
Investigators
Alshaimaa Soliman Alasrag
Resident at Anesthesiology, Surgical ICU and Pain medicine
Tanta University
Eligibility Criteria
Inclusion Criteria
- •Female patients
- •Aged 21-60 years
- •ASA physical status I, II
- •Scheduled for unilateral modified radical mastectomy
Exclusion Criteria
- •Patient refusal.
- •Known hypersensitivity to local anesthetics.
- •Body mass index \> 35 kg /m
- •Uncooperative or psychiatric patients.
- •Infection at the injection site.
- •Coagulation disorder.
Outcomes
Primary Outcomes
The total amount rescue analgesic consumption (morphine) in the first 24 hours postoperatively.
Time Frame: First 24 hours postoperatively.
Rescue analgesia in the form of morphine (3mg IV) will be given if the VAS is ≥ 40, repeated with lock out interval of 5 min guided with the occurrence of complications till the VAS is decreased to less than 40.
Secondary Outcomes
- The degree of postoperative pain(First 24 hours postoperatively.)
- Intraoperative fentanyl consumption.(Intraoperative)
- Time to first rescue analgesia request.(First 24 hours postoperatively.)