Erector Spina Plane Block vs Serratus Anterior Plane Block for Postoperative Mastectomy Pain

Tokat Gaziosmanpasa University

Status: Unknown

Conditions: Recovery Period, Anesthesia; Mastectomy; Pain, Postoperative

Treatments: Procedure: erector spina plane block; Procedure: serratus anterior plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT04296188

19KAEK253

Details and patient eligibility

About

The aim of this study is to compare the efficiency of serratus anterior plane block and erector spina plane block on analgesic consumption, postoperative pain and patient's satisfaction and recovery quality in patients undergoing mastectomy.

Full description

Mastectomy may cause severe postoperative pain. There are several analgesic methods for postoperative pain management. Serratus anterior plane (SAP) block is an interfascial plane block which is performed into the fascial plane of serratus anterior muscle. It provides effective analgesia in anterior, posterior and lateral dermatomes of thorax. There are several studies about its analgesic efficacy for mastectomy pain. The erector spina plane (ESP) block is another novel plan block which provides analgesia at multi-dermatomal area of the anterior, posterior, and lateral thoracic and abdominal walls. There are some studies about its effectiveness for postoperative mastectomy pain management. However, according to our best knowledge, there is no literature comparing the efficacy of ESP block and SAP block patients undergoing mastectomy.

Enrollment: 60 estimated patients

Sex: Female

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American society of score anesthesiologist I-II-III
• Elective modified radical mastectomy
• 18-65 years old

Exclusion criteria

• neurological disease
• coagulopathy disease or using anticoagulants
• non-cooperative
• allergic to one of the drugs used in the study
• recurrent breast cancer
• body mass index is above 35

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

serratus anterior plane block

Active Comparator group

Description:

The serratus anterior plane block will be performed under ultrasound guidance in the preoperative term. Tramadol will be administered via patient controlled analgesia (PCA) device at 20 mg bolus dose with 10 min. lockout time without basal infusion dose.

Treatment:

Procedure: serratus anterior plane block

erector spina plane block

Active Comparator group

Description:

The erector spina plane block will be performed under ultrasound guidance in the preoperative term. Tramadol will be administered via PCA device at 20 mg bolus dose with 10 min. lockout time without basal infusion dose.

Treatment:

Procedure: erector spina plane block