Mastectomy, Pain, Postoperative, Recovery Period, Anesthesia
Conditions
Keywords
Pain Management, Quality of Healthcare
Brief summary
The aim of this study is to compare the efficiency of serratus anterior plane block and erector spina plane block on analgesic consumption, postoperative pain and patient's satisfaction and recovery quality in patients undergoing mastectomy.
Detailed description
Mastectomy may cause severe postoperative pain. There are several analgesic methods for postoperative pain management. Serratus anterior plane (SAP) block is an interfascial plane block which is performed into the fascial plane of serratus anterior muscle. It provides effective analgesia in anterior, posterior and lateral dermatomes of thorax. There are several studies about its analgesic efficacy for mastectomy pain. The erector spina plane (ESP) block is another novel plan block which provides analgesia at multi-dermatomal area of the anterior, posterior, and lateral thoracic and abdominal walls. There are some studies about its effectiveness for postoperative mastectomy pain management. However, according to our best knowledge, there is no literature comparing the efficacy of ESP block and SAP block patients undergoing mastectomy.
Interventions
PROCEDUREserratus anterior plane block
ultrasound guided serratus anterior plane block will be done with % 0.25 bupivacaine.
PROCEDUREerector spina plane block
ultrasound guided erector spina plane block will be done with % 0.25 bupivacaine.
Sponsors
Tokat Gaziosmanpasa University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* American society of score anesthesiologist I-II-III * Elective modified radical mastectomy * 18-65 years old
Exclusion criteria
* neurological disease * coagulopathy disease or using anticoagulants * non-cooperative * allergic to one of the drugs used in the study * recurrent breast cancer * body mass index is above 35
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Analgesic consumption | From at the end of surgery (at postoperative 0th hour) to postoperative 24th hours | Tramadol dose will be calculated as milligram |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain intensity | At 0,2,4,6,12,24th hours after surgery | Numeric rating scale which is 0 to 10 will be recorded.In this scale, 0 is no pain, 10 is the worst pain. |
| Quality of recovery | At postoperative 24th hours | Quality of recovery (QoR-40) questionaire will be recorded. The QoR-40 is a questionaire which measures of five dimensions of health: patient support, comfort, emotions, physical independence, and pain on a five-point likert scale. QoR-40 scores range from 40 (extremely poor quality of recovery) to 200 (excellent quality of recovery) |
| The number of patients with perioperative side effects | From 30 minute before surgery to postoperative 24th hours | The number of patients with perioperative side effects(emesis, nausea, local anesthetic toxicity, pneumothorax, local hematoma) will be recorded |
Contacts
Primary Contactmehtap gürler balta, MD
Backup Contacttuğba karaman, MD
Outcome results
None listed