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

Kocaeli University

Status: Completed

Conditions: Postoperative Pain; Analgesia

Treatments: Other: Erector Spinae Plane Block; Other: Rhomboid Intercostal Block

Study type: Interventional

Funder types: Other

Identifiers

NCT06177665

KAEK/08.bI.02

Details and patient eligibility

About

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.

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 erector spinae plane block and rhomboid intercostal block.

Enrollment: 84 patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

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

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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84 participants in 2 patient groups

Erector Spinae Plane Block

Experimental group

Description:

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.

Treatment:

Other: Erector Spinae Plane Block

Rhomboid Intercostal Block

Experimental group

Description:

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.

Treatment:

Other: Rhomboid Intercostal Block