Superficial Serratus Plane Block for Modified Radical Mastectomy and Axillary Lymph Node Disection

Ataturk University

Status: Completed

Conditions: Postoperative Analgesia; Opioid Consumption; Pain, Postoperative

Treatments: Device: Ultrasound; Drug: Saline; Drug: Bupivacaine

Study type: Interventional

Funder types: Other

Identifiers

NCT03341234

Superficial SPB

Details and patient eligibility

About

Breast cancer is the most common type of cancer in women. Mastectomy and axillary lymph node disection are commonly performed as part of the cancer management. This surgery can cause significant postoperative pain. The serratus plane block (SPB) has been described for analgesia of the hemithorax and reported for many cases such as thoracoscopy, shoulder arthroscopy, breast surgery and axillary lymph node dissections. Serratus plane block may be a viable alternative to current regional anaesthetic techniques such as thoracic paravertebral and central neuraxial blockade.

The aim of this study is to determine effectiveness of ultrasound guided superficial serratus plane block in patients undergoing modified radical mastectomy and axillary lymph node dissection surgery.

Enrollment: 48 patients

Sex: Female

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologist's physiologic state I-III patients undergoing Modified Radical Mastectomy and Axillary Lymph Node Disection

Exclusion criteria

• chronic pain, bleeding disorders, renal or hepatic insufficiency,patients on chronic non-steroidal anti-inflammatory medications

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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48 participants in 2 patient groups

Group SPB

Active Comparator group

Description:

Ultrasound guided serratus plane block with 30 ml %0,25 bupivacaine

Treatment:

Device: Ultrasound

Drug: Bupivacaine

Group Control

Active Comparator group

Description:

Ultrasound guided sham block with 2 ml saline subcutaneously

Treatment:

Device: Ultrasound

Drug: Saline