Postoperative Pain
Conditions
Brief summary
Total 60 patients, American society of anaesthesiology physical status I-II aged between 18-65 who underwent totally mastectomy will recruit to the study. The patients randomly divided into two groups. Ultrasound guided Erector spinae plane block (ESP) will perform with 15 ml bupivacaine+ 5 ml lidocaine in Group ESP and ultrasound guided serratus anterior plane (SAP) block will perform with 5 ml bupivacaine+ 5 ml lidocaine in Group SAP. Postoperative pain assessment will apply with 11-point numerical rating scale (NRS) and postoperative analgesic requirement will calculate and record with morphine consumption (patient controlled analgesia).
Detailed description
In this study, total 60 patients, American society of anaesthesiology physical status I-II aged between 18-65 who underwent totally mastectomy will recruit. Using with computer randomisation, the patients allocate into two groups. Anaesthesia induction will perform with 2 mg/kg propofol, 0.6 mg/kg rocuronium and 2 microgram/kg fentanil and general anaesthesia will maintain with sevoflurane %1-2 +%40-60 O2-N20 mixture and remifentanil infusion. All of the blocks will perform under general anaesthesia. Ultrasound guided Erector spinae plane block (ESP) will perform with 15 ml bupivacaine+ 5 ml lidocaine in Group ESP and ultrasound guided serratus anterior plane (SAP) block will perform with 5 ml bupivacaine+ 5 ml lidocaine in Group SAP. Postoperative pain, analgesic requirement and complications will evaluate. Postoperative pain assessment will apply with 11-point numerical rating scale (NRS) and postoperative analgesic requirement will calculate and record with morphine consumption (patient controlled analgesia).
Interventions
USG guided Erector spinae block (ESP) will perform bilaterally.
USG guided serratus plane block will perform bilaterally
Sponsors
Study design
Masking description
Both participants and anaesthesia provider will not know which intervention applied. Another anaesthesia provider who did not perform any block will follow and record to the study data.
Eligibility
Inclusion criteria
* ASA I-II patients * Being volunteer * Total mastectomy
Exclusion criteria
* ASA III and over * Renal and hepatic failure * Non Volunteers * Emergency procedures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| morphine consumption | up to postoperative 24th hours. | Patient controlled analgesia (PCA) will provide with morphine PCA. Total morphine consumption will calculate and record till the postoperative 24th hours. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| numerical rating scale score | up to postoperative 24th hours. | Postoperative pain assessment will apply with 11-point numerical rating scale. These scores will record till the postoperative 24 th hours. |