Breast Cancer, Postoperative Pain
Conditions
Keywords
erector spinae plane block, thoracic paravertebral block, breast surgery, postoperative pain
Brief summary
Postoperative analgesia in breast surgery is a difficult and overworked issue due to etensive surgery and complex innervation of the breast. Erector spinae plane block (ESB) is a new defined and promising regional anesthesia technique for thoracic analgesia. Main purpose of this study is to compare the analgesic effect of ultrasound guided ESB with thoracic paravertebral block - the golden standard method for postoperative regional analgesia technique in breast surgery.
Interventions
24 hour morphine consumption will be recorded
erector spinae plane block will be administered before the surgery
thoracic paravertebral block will be administered before the surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* 25-70 years of agge * ASA I-II * Undergoing elective breast cancer surgery
Exclusion criteria
* obesity (body mass index \>35 kg/m2) * infection of the skin at the site of needle puncture area * patients with known allergies to any of the study drugs * coagulopathy * recent use of analgesic drugs
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Morphine consumption | 24 hour postoperatively | All patients will be provided with IV morphine PCA and morphine consumption after 24 hour postoperatively will be recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Numering Rating Scale scores for pain | 24 hour | Numeric Rating Scale (NRS) for pain will be used. The Numeric Rating Scale (NRS-11) is an 11-point scale for patient self-reporting of pain. It is for adults and children 10 years old or older. 0 means no pain and 10 means most imaginable pain |
| Postoperative nausea and vomiting | 24h | Incidence of postoperative nausea and vomiting will be recorded |
Countries
Turkey (Türkiye)