Comparison of ultrasound guided superficial versus deep Serratus anterior plane block in providing postoperative analgesia after mastectomy A prospective randomized double blinded trial
试验速览
- 阶段
- 2/3 期
- 状态
- 尚未招募
- 入组人数
- 130
- 试验地点
- 1
- 主要终点
- Cumulative 24 hour IV PCA morphine consumption in both the groups
研究概览
简要总结
Breast surgery is becoming more common in women. Surgical incisions in the breast and axillary areas cause severe discomfort, with a high frequency of acute pain escalating to chronic pain in 25% to 60% of patients. The serratus anterior plane block (SAP block) is a safe and simple block that is performed under ultrasound guidance by administering local anesthetic in the plane between the serratus anterior and latissimus dorsi muscles (superficial SAP block) or between the serratus anterior muscle and the ribs at the mid-axillary line between the 4th and 5th ribs(deep SAP block). Dexmedetomidine can extend the duration of action of local anesthetics. Dexmedetomidine is a strong sedative, analgesic, and has anaesthetic properties when used in general anaesthesia.
The purpose of this study was to investigate the difference in postoperative cumulative 24 hour opioid consumption and postoperative analgesia between superficial and deep SAP block in patients undergoing unilateral mastectomy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant and Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 70.00 Year(s)（—）
- 性别
- Female
入选标准
- •American society of Anaesthesiologists (ASA) status I-III
- •Female patients posted for unilateral mastectomy.
排除标准
- •Allergy to LA
- •Coagulopathy
- •Local infection at block site
- •Preoperative opioid use
- •Inability to provide informed consent
- •Patient refusal to participate in the study.
结局指标
主要结局
Cumulative 24 hour IV PCA morphine consumption in both the groups
时间窗: 24 HOURS
次要结局
- VAS scores with rest and movement(Time to first rescue analgesic)
研究者
DR KAMAAL MOHIDEEN KHAN B
Sri Ramachandra Institute Of Higher Education And Research