Analgesia, Cancer, Breast
Conditions
Brief summary
Mastectomy is a technique often used in breast cancer surgery. Patients experience moderate to severe pain postoperatively after this procedure. Various plane blocks, NSAIDs, and opioid analgesics can be administered to these patients as components of multimodal analgesia. In the the study, the investigators aimed to evaluate the analgesic effects of the serratus plane block, the parasternal block added to the serratus plane block, and the dermatomal differences.
Interventions
preoperativelly, Superficial Serratus Block performed with 30 ml %0.25 Bupivacaine and Parasternal Block performed with 10 ml saline
preoperativelly, Superficial Serratus Block performed with 30 ml %0.25 Bupivacaine and Parasternal Block performed with 10 ml %0.25 Bupivacaine
Sponsors
Study design
Eligibility
Inclusion criteria
1. American Society of Anesthesiologist's physiologic state I-III patients 2. To undergo Mastectomy Surgery 3. Being between the ages of 18-65 years
Exclusion criteria
* Having a known heart, kidney, liver or hematological disease * Having a history of peptic ulcer, gastrointestinal bleeding, allergy, chronic pain * Routine analgesic use and history of analgesic use in the last 24 hours * Not willing to participate in the study * Uncooperative patients who have coagulopathy or use anticoagulant drugs * To be allergic to one of the drugs to be used
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative opioid consumption | first 24 hours | First 24 hours total fentanyl consumption with patient controlled analgesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual analog pain score | First 24 hours | Post operative pain will be evaluated with a Visual Analogue Scale (between 0-10; 0: no pain, 10:worst pain) score |
| Sensory Assessment | 24 hours | Sensory Assessment will be performed on patients following the block procedure with pinprick test. |
Countries
Turkey (Türkiye)