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RecruitingNot ApplicableNCT06410378

s Serratus Anterior Block for Perioperative Analgesia

Ultrasound-Guided Erector Spinae Block Versus Serratus Anterior Block for Perioperative Analgesia In Patients Undergoing Modified Radical Mastectomy Surgery

Sponsor

Zagazig University

Enrollment

75 participants

Start Date

May 10, 2024

Study Type

INTERVENTIONAL

Conditions

MastectomyPostoperative Pain

Summary

Modified radical mastectomy is one of the commonly performed breast surgery. Postoperative pain following mastectomy should be minimised, as in a number of women it may chronically persist for months in the form of postmastectomy pain syndrome. Morphine administration for acute pain after mastectomy surgery has many side effects. Regional block techniques as paravertebral block and thoracic epidural anathesia has possible complications and technical difficulties. The new alternative regional techniques such as erector spinae plane block and serratus anterior plane block are clinical trials for providing a safe, easy and painless anesthetic procedure with good hemodynamic and recovery profile with adequate perioperative analgesia for a large section of patients undergoing mastectomy operation in order to reduce opiods consumption and subsequently avoid opiod-related adverse effects.

Eligibility

Sex: FEMALEMin Age: 21 YearsMax Age: 60 Years

Inclusion Criteria6

  • Written informed consent from the patient.
  • Age: 21 - 60 years old.
  • Gender: female patients.
  • Body mass index: < 35 kg/m2.
  • Physical status: ASA grade I-II (American society of anesthiologists).
  • Type of operation: unilateral modified radical mastectomy operation.

Exclusion Criteria8

  • Patient with known history of allergy to study drugs.
  • Chronic use of analgesics or drug dependence.
  • Patients not able to understand pain assessment test.
  • Anatomical abnormalities.
  • Neuropathic disease.
  • Pregnancy or breast feeding.
  • Other contraindication of regional anesthesia e.g. septic focus at site of injection.
  • patient with coagulopathy or on anticoagulant therapy.

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Interventions

PROCEDUREErector Spinae Plane Block

Patient will receive 20 ml of bupivacaine 0.25 % through Erector Spinae Plane Block approach

PROCEDURESerratus Anterior Plane Block

Patient will receive 20 ml of bupivacaine 0.25 % through Serratus Anterior Plane Block approach.

PROCEDUREcontroll group

patient will receive general anesthesia

Locations(1)

Zagazig

Zagazig, MD, Egypt

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