Breast Cancer Surgery, Postoperative Analgesia
Conditions
Keywords
Rhomboid intercostal and subserratus plane block
Brief summary
Postoperative analgesia after breast cancer surgery is a challenge for anesthesiologists due to the complex innervation of the breast. Interfascial plane blocks of the chest are gaining widespread popularity with the introduction of ultrasonography into the regional anesthesia practice. We aimed to investigate the efficacy of Rhomboid intercostal and subserratus plane block (RISS) for postoperative analgesia in patients undergoing breast cancer surgery.
Detailed description
This prospective randomized controlled trial will be carried out on female patients who scheduled for breast cancer surgery. Our hypotesis is that this new interfascial plane block technique will able to provide postoperative analgesia in breast cancer surgery.
Interventions
Local anesthetic will be injected in the tissue planes between the rhomboid and the intercostal muscles and the serratus anterior and external intercostal muscles with ultrasound guidence.
Sponsors
Study design
Intervention model description
Prospective study
Eligibility
Inclusion criteria
* Female patients aged 18-85 years and ASA physiological score I-III who undergone breast cancer surgery
Exclusion criteria
* Patients refused to participate. * Patients with known or suspected allergy to the used medication. * Patients with psychiatric-neurological disorders that may affect pain perception, * Patients regularly taking antipsychotics and antidepressants. * Patients with potential risk of coagulopathy. * Uncooperative patients.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative opiod consumption | The first 24 hours postoperatively | Opioid consumptions for both group will be recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain scores | The first 24 hours postoperatively | Postoperative pain will be assessed using a Numeric Rating Scale (NRS) ranging from 0 (no pain) to 10 (worst imaginable pain).The NRS will be recorded in postoperative unit and in ward at first hour and at 2th, 6th, 12th and 24 th hour. |
Countries
Turkey (Türkiye)