A Comparative Study Of Pectoral Nerve Versus Erector Spinae Block Using Ultrasound Guided Technique For Post Operative Analgesia of Breast Surgeries
Trial Snapshot
- Phase
- Phase 3 4
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 64
- Locations
- 1
- Primary Endpoint
- Numerical rating scale NRS (1 to 10) 1 to 3 — mild 4 to 6 — moderate 7 to 10–severe after block,in both intervention and control group.
Study Overview
Brief Summary
Achieving adequate perioperative analgesia can be challenging in patients undergoing breast surgeries.
Earlier THORACIC EPIDURAL and PARAVERTEBRAL BLOCK were considered gold standard analgesic techniques till date. These techniques may be associated with problems like pneumothorax, vascular puncture, nerve damage.
Alternative to these blocks some newer techniques have been designed with better safety profile and comparable pain relief. Pectoral (PECs) block is one of them in which the drug is deposited into the inter-fascial plane between pectoralis major and minor/pectoralis minor and serratus anterior muscles.
There has been only a single study comparing both of these blocks in these surgeries,but none in the Indian subpopulation. We hypotthesised that ESP block can be as effective as PECS block for MRM patients in terms of perioperative analgesia.
The primary objective was to compare morphine consumption in 24 hours postoperatively.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Participant Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 50.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •All patients in the above age group in ASA grade 1,2 who have been scheduled for breast surgeries will be included.
Exclusion Criteria
- •Patients scheduled for breast surgeries Patients suffering from psychiatric disorders Who are not willing to participate in the study Patients having BMI more than 40.
Outcomes
Primary Outcomes
Numerical rating scale NRS (1 to 10) 1 to 3 — mild 4 to 6 — moderate 7 to 10–severe after block,in both intervention and control group.
Time Frame: Postoperative pain by using NRS(0-10,0- no pain and 10–worst pain possible) every 30min till 24 hours. | time points will be sequentially 30 min until 24 hrs of block
Secondary Outcomes
- Post operative narcotic used in both groups(Till 24hrs after surgery)
Investigators
Gedela sushma
Rangaraya medical college