Comparison of Erector Spina Plan Block and Rhomboid Intercostal Block in Breast Surgery

Kocaeli University84 enrolled

Overview

In this study, the investigators compared ultrasound-guided erector spinae plane (ESP) block and rhomboid intercostal block (RIB) on postoperative analgesic effect in unilateral breast surgery.

After being informed about the study and potential risks, written consent was obtained from all patients.Patients who meet eligibility requirements will be randomized in a 1:1 ratio to erector spinae plane block and rhomboid intercostal block.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

DIAGNOSTIC

Masking

SINGLE

Enrollment

Conditions

Postoperative Pain Analgesia

Interventions

Erector Spinae Plane BlockOTHER

Ultrasound(US)-guided erector spinae plan block(ESP) with 20 ml 0,25% bupivacaine at T4 vertebra level will performe preoperatively to all patients in the ESP group.

Rhomboid Intercostal BlockOTHER

Ultrasound(US)-guided rhomboid intercostal block(RIB) with 20 ml 0,25% bupivacaine at T5-T6 vertebra level will performe preoperatively to all patients in the RIB group.

Eligibility

Sex: FEMALEMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria * Patients who will undergo unilateral breast-conserving surgery (BCS) or modified radical mastectomy (MRM) with or without axillary lymph node dissection * Patients undergoing elective surgery * ASA (American Society of Anesthesiologists) physical status classification I-III Exclusion Criteria: * Use of anticoagulants * Allergy to the medications to be used * Patients who use analgesic drugs due to a history of chronic pain * ASA (American Society of Anesthesiologists) physical status classification IV-V * Patients with psychiatric disorders * Presence of infection in the area where the block will be applied * Presence of deformity in the patient's spinal, paraspinal and area where the block will be applied * The patient does not accept the block application or cannot cooperate with the patient

Locations (1)

Kocaeli University

Kocaeli, Turkey (Türkiye)

Outcomes

Primary Outcomes

Morphin Consumption

Patients in both groups will provide with intravenous patient-controlled analgesia device containing morphine for postoperative analgesia

Time frame: during postoperative 24 hours

Secondary Outcomes

Numerical Rating Scale(NRS)

A numerical rating scale(NRS) requires the patient to rate their pain on defined scale.For example , 0-10 where 0 is no pain and 10 is the worst pain imaginable.

Time frame: during postoperative 24 hours

Data from ClinicalTrials.gov

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