Comparison of Bi-level Erector Spine Plane Block and Combined Pectoral I-II Block in Breast Surgery

Kocaeli University

Status: Completed

Conditions: Postoperative Pain; Analgesia

Treatments: Other: Ultrasound guided bi-level erector spinae plane block; Other: Ultrasound guided modified pectoral nerve block

Study type: Interventional

Funder types: Other

Identifiers

NCT04689581

KOU KAEK 2018/487

Details and patient eligibility

About

In this study, we compared ultrasound-guided modified pectoral nerve (PECS) block and bi level erector spinae plane (ESP) block on postoperative analgesic effect in breast surgery.

Full description

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 bi- level erector spinae plane block and modified pectoral block.

Enrollment: 70 patients

Sex: Female

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologists Classification (ASA) I-II patients
• 18-70 aged patients
• patients who scheuled elective breast cancer surgery

Exclusion criteria

• American Society of Anesthesiologists Classification (ASA) III-IV patients
• patients with coagulopathy
• patients with infection at the injection site

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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70 participants in 2 patient groups

Bi-level erector spinae plane block

Experimental group

Description:

Bi-level ultrasound (US)-guided Erector spinae plane block (ESP) with 30 ml 0.25% bupivacaine at the T2 andT4 vertebral level will performe preoperatively to all patients in the ESP group.

Treatment:

Other: Ultrasound guided bi-level erector spinae plane block

Modified pectoral nerve block

Experimental group

Description:

Ultrasound (US)-guided modified pectoral nerve block (PECs) with 30 ml 0.25% bupivacaine will performe preoperatively to all patients in the PECs group.

Treatment:

Other: Ultrasound guided modified pectoral nerve block