Bilateral Ultrasound-Guided Erector Spinae Plane Block or Serratus Anterior Plane Block For Postoperative Analgesia in Breast Reduction Surgery: A Prospective, Randomized and Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Opioid consumption
研究概览
简要总结
the aim of the study compare the analgesic effect of erector spinae block and serratus anterior block in breast surgery
详细描述
Breast reduction surgery is a common cosmetic surgical procedure. Providing effective analgesia has a crucial role in reducing side effects, catalyzing postoperative recovery, and increasing patient satisfaction. Regional anesthesia techniques are generally used for postoperative analgesia to decrease opioid-related side effects. Fascial plane block has gained popularity for breast analgesia. The investigator aimed to consider the effects of ESP block or Serratus Anterior Plane block on postoperative analgesia in breast reduction surgery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •American Society of Anesthesiologists (ASA) I-II,
- •18-65 years of age, adult,
- •female patients
- •undergoing elective breast reduction surgery
排除标准
- •Allergy to amide-type local anesthetics
- •Infection at the block injection site
- •Severe obesity (BMI > 35 kg/m2)
- •Liver or renal deficiency
- •Patients with anatomical deformities
- •Recent use of analgesic drugs
- •Patient refusal or inability to consent
研究组 & 干预措施
ESP block group
Bilateral ultrasound guided erector spine plane (ESP) block will be performe preoperatively at T5 level. 20 mL local anesthetics (10 mL 0.5% bupivacaine + 10 mL serum physiologic % l) will be injected deep to the erector spinae muscle
干预措施: erector spine plane (ESP) block (Procedure)
SAP Block grup
Bilateral ultrasound guided serratus plane block with 20 ml %0,25 bupivacaine at the midaxillary 5. Rib
干预措施: Serratus Anterior Plane Block (Procedure)
结局指标
主要结局
Opioid consumption
时间窗: 24 hour
Tramadol consumption in Patient Controlled Analgesia device postoperative 24 hours.
次要结局
- Remifentanil consumption(during surgery)
- Length of stay in hospital(30 days)
- Pain assessed by NRS(24 hour)
- Blooad loss(during surgery)
- Rate of opioid related side effects(24 hour)
研究者
Leyla Kılınc
associate professor
Sisli Hamidiye Etfal Training and Research Hospital