RecruitingNot ApplicableNCT07747623

One-level and Bi-level ESPB Application in Patients Undergoing Breast Surgery

Comparison of the Efficiency of One-Level and Bi-Level ESPB ESPB for Postoperative Analgesia in Patients Undergoing Breast Surgery

Sponsor

Atatürk Chest Diseases and Chest Surgery Training and Research Hospital

Enrollment

70 participants

Start Date

Sep 11, 2026

Study Type

INTERVENTIONAL

Conditions

Pain, Postoperative Breast Surgery Multimodal Analgesia Erector Spinae Plane Block

Summary

Acute pain after breast surgery can significantly reduce the quality of life for patients. If acute pain is not adequately treated, it can develop into chronic pain. Thoracic epidural analgesia, thoracic paravertebral block, erector spinae plane block, and serratus anterior plane block are frequently applied blocks. However, ESPB, being a fascial plane block, can yield inconsistent results regarding distribution and dermatomal area. In recent years, there has been an increase in publications applying ESPB from two levels to achieve wider distribution. As a result, this study aims to compare the analgesic efficacy of single-level (Thoracic 3) and two-level (Thoracic 2, Thoracic 4) ESPB applications.

Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 80 Years

Plain Language Summary

Simplified for easier understanding

This clinical trial is studying a procedure called Bi-level Erector Spinae Plane Block and a procedure called One-level Erector Spinae Plane Block for people with breast surgery, erector spinae plane block, and other related conditions. The study is currently recruiting participants at 1 location. People eligible for this study include women aged 18 Years to 80 Years.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

PROCEDUREOne-level Erector Spinae Plane Block

One-level Erector Spinae Plane Block will be performed unilaterally, under US guidance, before the surgical operation, and when the patient is placed in the lateral decubitus position. In applications, 30 ml of 0.25% bupivacaine will be injected at the T3 level.

PROCEDUREBi-level Erector Spinae Plane Block

Bi-level Erector Spinae Plane Block will be performed unilaterally, under US guidance, before the surgical operation, and when the patient is placed in the lateral decubitus position. In applications, 15 ml of 0.25% bupivacaine at T2 level and 15 ml of 0.25% bupivacaine at T4 level will be injected.

Locations(1)

Ankara Etlik City Hospital

Yenimahalle, Ankara, Turkey (Türkiye)

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NCT07747623

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