"Serratus Anterior Plane Block" Versus "Serratus Posterior Superior Plane Intercostal Plane Block" for Patients Undergoing Breast Surgery

Ospedale di Camposampiero

Status: Not yet enrolling

Conditions: Breast Cancer; Mastectomy; Pain, Postoperative; Anesthesia

Treatments: Procedure: Serratus Posterior Superior Plane Intercostal Plane block; Procedure: Serratus Anterior Plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT06711549

2024/Sapvsspis

Details and patient eligibility

About

The Serrato Posterosuperior Block (SPSIP) is a recently discovered technique that provides analgesia to the hemithorax, shoulders, neck and back. At an anatomical level, it has been seen that this technique allows the diffusion of local anesthetic starting from C7 proceeding dorsally up to T10 by sectioning the trapezius, latissimus dorsi, rhomboid and erector spinae muscles. The serratus anterior block (SAPB) is a technique that allows local anesthetic to be injected between the serratus anterior muscle and the intercostal muscles (deep plane) or between the latissimus dorsi muscle and the serratus anterior muscle (superficial plane), also providing analgesia at of the chest wall. This study aims to compare the analgesic efficacy of SPSIPB and SAPB in patients undergoing radical mastectomy for breast cancer

Enrollment: 46 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult Patient ( > 18 years)
• Informed consent
• American Society of Anaesthesiologis Phisical Status I to III
• Patients undergoing for mastectomy with sentinel lynphnode byopsy/axillary clearence

Exclusion criteria

• Pregnant women
• Allergy to any drug present in the protocol

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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46 participants in 2 patient groups

Patients receiving Serratus Posterior Superior Plane Intercostal Plane block

Experimental group

Description:

The patients will undergosurgery after receiving an ultrasound guided serratus posterior superior intercostal plane block

Treatment:

Procedure: Serratus Posterior Superior Plane Intercostal Plane block

Serratus Anterior Plane Block

Active Comparator group

Description:

The patients will undergosurgery after receiving an ultrasound guided serratus anterior plane block

Treatment:

Procedure: Serratus Anterior Plane block