Postoperative Pain, Breast Surgery
Conditions
Keywords
Erector spinae plane (ESP) block, Postoperative Pain, Breast Surgery
Brief summary
To evaluate the effect of injection rate on the block sensory level in the ESP block.
Detailed description
Many women experience severe acute postoperative pain after breast cancer surgery. Regional techniques are frequently used as a part of multimodal analgesia in breast surgery. Ultrasound-guided erector spinae plane (ESP) block is a preferred method to reduce the postoperative opioid requirement for postoperative pain management. In this study, we aimed to evaluate the effect of injection rate on the block sensory level in the ESP block.
Interventions
Ultrasound-guided ESP block with 20 mL %0.375 bupivacaine will be administered at a standard injection rate.
Ultrasound-guided ESP block with 20 mL %0.375 bupivacaine will be administered at a long injection rate.
Sponsors
Study design
Eligibility
Inclusion criteria
* aged between eighteen and sixty-five * ASA I-III * undergo elective breast cancer surgery
Exclusion criteria
* under 18 years of age or over 65 years of age * ASA IV and above * declined to give written informed consent * contraindications of peripheral blocks or local anesthetic infiltration * history of allergy against local anesthetics * chronic pain history * history of hepatic, neuromuscular, cardiac and/or renal failure * infection at the injection site
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Block sensory level | 12 hours | Number (average) of dermatomes with sensory block with pinprick and cold methods after the ESP block |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative tramadol consumption | 24 hours | Postoperative tramadol consumption will be recorded at 24 hours |
| Assesment of postoperative analgesia | 24 hours | Post operative pain scores will be assessed using a numerical rating scala (NRS) (from 0=no pain, to10= worst pain imaginable). |
Countries
Turkey (Türkiye)