This study aims to compare single level serratus block versus bilevel serratus block with and without dexmedetomidine in cancer patients undergoing modified radical mastectomy for breast cancer regarding pain control and possible side effects.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
172
Serratus anterior plane block with local anesthetics at the third rib
Serratus anterior plane block with local anesthetics and dexmedetomidine at the third rib
Serratus anterior plane block with local anesthetics at the third and fifth rib
Walaa Y Elsabeeny
Cairo, Egypt
RECRUITINGFirst time to receive analgesia
first time to receive morphine analgesia in hours
Time frame: First 24 hours postoperatively
Total analgesic requisite
total amount of morphine consumption in the first 24 hours postoperatively in mg
Time frame: First 24 hours postoperatively
Pain scores
pain scores will be assessed using Visual Analogue Scale on a sale from 0 to 10 with 0 meanung no pain and 10 meaning severe pain
Time frame: First 24 hours postoperatively
Side effects
nausea and vomiting and hematoma at site of injection
Time frame: First 24 hours postoperatively
Perioperative heart rate values
heart rate values in the form of beat per minute in the perioperative period including preoperative, intraoperative and postoperative
Time frame: First 24 hours
Mean arterial blood pressure
Mean arterial blood pressure values in the form mmHg in the perioperative period including preoperative, intraoperative and postoperative
Time frame: First 24 hours
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Serratus anterior plane block with local anesthetics and dexmedetomidine at the third and fifth rib