Rhomboid Intercostal Block Versus Serratus Anterior Plane Block

Zagazig University

Status: Enrolling

Conditions: Postoperative Pain

Treatments: Procedure: general anesthesia plus Rhomboid intercostal block; Procedure: general anesthesia; Procedure: Serratus anterior plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT05661279

zu-IRB # 10060

Details and patient eligibility

About

evaluate and compare the impact of ultrasound guided rhomboid intercostal block versus serratus anterior plane block for analgesia after thoracodorsal artery perforator flap following partial mastectomy

Full description

• To assess and compare quality of post- operative analgesia in each group.
• Time of performance of block in both groups.
• To assess and compare post-operative hemodynamics as well as anticipated adverse effects including nausea, vomiting, itching, hemorrhage, bradycardia, hypotension.

Enrollment: 84 estimated patients

Sex: All

Ages: 21 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Adult patients aged between 21 to 60 years
• Undergoing pedicled thoracodorsal artery perforator flap following breast conserving surgery -General anesthesia
• Informed consents
• ASA I & II
• Body mass index 25-30 kg/m2.

Exclusion criteria

• patients on anti-platelet, anticoagulant or B blocker drugs
• Patients with acute decompensated heart failure, hypertension, heart block, coronary disease, Asthma, bleeding disorders, compromised renal or hepatic function
• history of allergy to local anesthesia or opioid analgesia,
• pregnancy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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84 participants in 3 patient groups

Group C:

Active Comparator group

Description:

control group who will be given general anesthesia only

Treatment:

Procedure: general anesthesia

Group R:

Active Comparator group

Description:

Rhomboid intercostal block then general anesthesia

Treatment:

Procedure: general anesthesia plus Rhomboid intercostal block

Procedure: general anesthesia

group S

Active Comparator group

Description:

Serratus anterior plane block then general anesthesia

Treatment:

Procedure: general anesthesia

Procedure: Serratus anterior plane block