Comparison Between Serratus Anterior Plane Block and Erector Spinae Plane Block for Mastectomy

Not Applicable

Completed

• Conditions: Breast Cancer Postoperative Pain
• Interventions: Procedure: Plane block

• Registration Number: NCT04372862
• Lead Sponsor: Suez Canal University

Brief Summary

In this study, we are comparing two different techniques of plane blocks to control postoperative mastectomy pain serratus anterior plane block and erector spinae plane block, both are done with ultrasonic guidance We are recording the first time of analgesia request postoperatively as a primary outcome

Detailed Description

Not available

Study Timeline

• Study Start: 2019-10-01
• Study First Submitted: 2020-05-01
• Study First Submitted QC: 2020-05-01
• Study First Posted: 2020-05-04
• Primary Completion: 2020-05-30
• Study Completion: 2020-07-30
• Status Verified: 2022-09
• Last Update Submitted: 2022-09-28
• Last Update Posted: 2022-09-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 25

Inclusion Criteria

• Female patient age 20 to 65
• ASA I, II
• Scheduled for mastectomy

Exclusion Criteria

• Allergy to local anaesthetics
• Infection at the site of performing the block
• Morbidly obese patient of body mass index more than 40 kg/m2

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Serratus anterior plane block	Plane block	Serratus anterior plane block was performed in the supine position placing the ipsilateral upper limb in abduction 90 degrees position. Aiming to find the serratus anterior muscle the investigator identified the fifth rib in the mid-axillary line by the linear probe in the sagittal plane. The latissimus dorsi muscle (superficial and posterior), teres major muscle (superior) and serratus muscles (deep and inferior) were detected using ultrasound. The investigator penetrated the serratus anterior muscle by a 25 GA, 90 mm spinal needle in-plane concerning the ultrasound probe from superoanterior to posteroinferior to inject deep to it.
Erector spinae plane block	Plane block	Erector spinae plane block was performed at lateral decubitus with the operation site up, the vertebrae were counted from cephalad to caudal direction until reaching T5 spinous process as the first palpable spinous process is C7. The ultrasound probe was placed vertically 3 cm lateral to the T5 spinous process. Three muscles were identified superficial to the hyperechoic transverse process shadow as follows: trapezius, rhomboid major, and erector spinae. The needle was introduced from superior to inferior direction in-plane until the tip lay deep to erector spinae muscle.

Primary Outcome Measures

Name	Time	Method
First time analgesia request	Postoperative up to 24 hours	The first time the patient ask for analgesia to control postoperative pain

Secondary Outcome Measures

Name	Time	Method
Total analgesic consumption	Postoperative up to 24 hours	The total calculated analgesics that were administered to control post operative pain
visual analogue scale	Every two hours for 24 hours postoperative	A subjective method to measure pain, where 0=no pain and 10 = worst comprehensible pain

Trial Locations

Locations (1)

Suez Canal University; 🇪🇬 Ismailia, Egypt