Erector Spinae Plane Block Versus Serratus Anterior Plane Block

Sisli Hamidiye Etfal Training and Research Hospital

Status: Enrolling

Conditions: Opioid-Related Disorders; Post Operative Pain

Treatments: Procedure: erector spine plane (ESP) block; Procedure: Serratus Anterior Plane Block

Study type: Interventional

Funder types: Other

Identifiers

NCT06862752

leyla-25

Details and patient eligibility

About

the aim of the study compare the analgesic effect of erector spinae block and serratus anterior block in breast surgery

Full description

Breast reduction surgery is a common cosmetic surgical procedure. Providing effective analgesia has a crucial role in reducing side effects, catalyzing postoperative recovery, and increasing patient satisfaction. Regional anesthesia techniques are generally used for postoperative analgesia to decrease opioid-related side effects. Fascial plane block has gained popularity for breast analgesia. The investigator aimed to consider the effects of ESP block or Serratus Anterior Plane block on postoperative analgesia in breast reduction surgery.

Enrollment: 80 estimated patients

Sex: Female

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologists (ASA) I-II,
• 18-65 years of age, adult,
• female patients
• undergoing elective breast reduction surgery

Exclusion criteria

• Allergy to amide-type local anesthetics
• Infection at the block injection site
• Severe obesity (BMI > 35 kg/m2)
• Liver or renal deficiency
• Patients with anatomical deformities
• Recent use of analgesic drugs
• Patient refusal or inability to consent

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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80 participants in 2 patient groups

ESP block group

Active Comparator group

Description:

Bilateral ultrasound guided erector spine plane (ESP) block will be performe preoperatively at T5 level. 20 mL local anesthetics (10 mL 0.5% bupivacaine + 10 mL serum physiologic % l) will be injected deep to the erector spinae muscle

Treatment:

Procedure: erector spine plane (ESP) block

SAP Block grup

Other group

Description:

Bilateral ultrasound guided serratus plane block with 20 ml %0,25 bupivacaine at the midaxillary 5. Rib

Treatment:

Procedure: Serratus Anterior Plane Block