the aim of the study compare the analgesic effect of erector spinae block and serratus anterior block in breast surgery
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
80
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.
Bilateral ultrasound guided serratus plane block with 20 ml %0,25 bupivacaine at the midaxillary 5. Rib
Sisli etfal research and training hospital
Istanbul, Turkey (Türkiye)
RECRUITINGOpioid consumption
Tramadol consumption in Patient Controlled Analgesia device postoperative 24 hours.
Time frame: 24 hour
Pain assessed by NRS
Post operative pain will be evaluated with Numeric rating scale (NRS) score of 0-10 (0= no pain and 10= pain) and will be recorded at 0,1,4,12,24. At hours postoperatively.
Time frame: 24 hour
Rate of opioid related side effects
Opioid related side effects such as nause/vomiting, pruritis, bradycardia, hypotension will be evaluated at intervals up to 24 hours.
Time frame: 24 hour
Blooad loss
Peroperative and postoperative blood loss and amaoun of eritrosit suspansion
Time frame: during surgery
Remifentanil consumption
Peroperative Remifentanil consumption
Time frame: during surgery
Length of stay in hospital
Length of stay in hospital
Time frame: 30 days
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