Erector Spinae Plane Block Versus Serratus Plane Block for Breast Surgery

Ataturk University60 enrolled

Overview

Serratus plane block (SPB) was first described in 2013 by Blanco and designed to primarily block the thoracic intercostal nerves. And this block provides sufficient analgesia lateral anterior and posterior part of thoracic wall.Erector Spinae Plane Block (ESPB) is a newly described and effective interfascial plane block for thoracic and abdominal surgery. It was first described by Forero et al. in 2016, effectiveness being reported in four cases. The aim of this study is to compare Serratus plane block and erector spinae plane block on postoperative pain in patients undergoing modified radical mastectomy and axillary lymph node dissection

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Postoperative Pain Breast Cancer

Interventions

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * American Society of Anesthesiologist's physiologic state I-III patients * undergoing breast cancer surgery * 18-65 years Exclusion Criteria: * chronic pain * bleeding disorders * renal or hepatic insufficiency * patients on chronic non-steroidal anti-inflammatory medications * emergency cases * coagulopathy

Outcomes

Primary Outcomes

Opioid Consumption

First 24 hours total fentanyl consumption with patient controlled analgesia

Time frame: First 24 hours

Secondary Outcomes

Visual analog pain score

Post operative pain will be evaluated with a Visual Analogue Scale (VAS) score of 0-10 (0= no pain and 10= worst imaginable pain) at first hour postoperatively

Time frame: postoperative first24 hours

Block Performing Time

The block time was defined as the period between the insertion of the needle and termination of local anesthetic administration

Time frame: First hour