Health Condition 1: C509- Malignant neoplasm of breast of unspecified site Health Condition 2: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 70 adult patients of either gender aged more than or equal to 18 years classified under ASA 1,2 or 3 scheduled for modified radical mastectomy
Exclusion criteria
Exclusion criteria: 1. Any known sensory deficit of the anterolateral chest wall. 2. Any local infection at site of blockade. 3. Pregnancy 4. Allergy to amide local anesthetic medications 5. Chronic pain conditions 6. Preoperative opioid use greater than 20 oral morphine equivalents per day 7. Any coagulation abnormality which would be a contraindication for block placement 8. Body mass index >50 9. Refusal to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Opioid consumption during the 24 hours following placement of the serratus anterior plane blockTimepoint: 6-12 hours postopertive 12-24 hours postopeartive | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in immediate post-operative pain scores from their pre-operative baseline 2. NRS Pain scores during the first 24 hours after placement of the block 3.Quality of recovery after surgery as assessed by the quality of recovery-15 questionnaire assessed at discharge from hospital.(7) 4. Patient satisfaction with regards to their perioperative pain control during the first 24 hours after placement of the block. 5. Presence of nausea or vomiting /any other adverse effect 7. Duration of sleep during the first post-operative night 8. Block performance time Timepoint: 0,6,12,18,24 hours postoperative | — |
Countries
India
Contacts
Department of Anaesthesiology and intensive care, NIZAMS institute of medical sciences, Hyderabad