Analgesia
Conditions
Brief summary
The application of regional anaesthetic procedures in breast surgery is associated with a lower incidence of chronic pain, reduced morbidity, shorter hospital stay and less opioid requirement. Therefore, we aimed to compared the postoperative analgesic efficacy of Serratus Anterior Plan Block and Serratus Posterior Superior Intercostal Plan Block in breast surgery.
Detailed description
Breast surgery is one of the most common operations performed by General Surgery and may be associated with acute postoperative pain. Acute postoperative pain is an independent risk factor for the development of chronic pain after mastectomy. Various regional anaesthetic procedures have been tried to achieve better acute pain control and thus less chronic pain. The use of regional anaesthetic procedures in breast surgery is associated with a lower incidence of chronic pain, reduced morbidity, shorter hospital stay and less opioid requirement. Interfascial plane blocks have become popular because they are easy to perform and safe. Since interfascial plan blocks are based on the injection of local anaesthetic between two fasciae, the complication rate such as nerve damage is very low. With this method, effective analgesia can be provided in various areas such as abdominal, thoracic and lumbar regions while reducing opioid consumption and avoiding neuraxial methods. In randomised controlled trials investigating the efficacy of Serratus Anterior Plane Block for postoperative analgesia management after breast surgery, adequate analgesia was reported. Serratus posterior superior intercostal plan block, a newly defined interfascial plan block, has been shown to provide a wide sensory blockade between intercostal muscles. Postoperative analgesic efficacy has been demonstrated in thoracic, breast and shoulder surgeries. The aim of our study was to compared the postoperative analgesic efficacy of Serratus Anterior Plan Block and Serratus Posterior Superior Intercostal Plan Block in breast surgery.
Interventions
OTHERplane block with %0.25 30 ml bupivacaine
evaluation of the efficacy of two different plan blocks for postoperative analgesia
Sponsors
Mustafa Burgac
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Intervention model description
single blind
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* unilateral mastectomy(modified radial mastectomy) * ASA I-III risk group
Exclusion criteria
* Coagulopathy * Wound and infection in the block area * Local anaesthetic allergy * Mental retardation * Non-cooperative * Pregnant patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of analgesic efficacy of postoperative plan blocks with numerical pain score (NRS) | within 24 hours postoperative | Evaluation of which of the two plan blocks is more effective in postoperative analgesia. Postoperative pain scores will be evaluated with a numerical pain score. Evaluation will be performed postoperatively at 1. hour, 4. hours, 8. hours, 12. hours and 24. hours. A lower numeric pain scale indicates a lower level of pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of tramadol(mg) consumption | within 24 hours postoperative | Using a patient-controlled analgesia device, tramadol consumption and total tramadol consumption will be compared between 0-1st hour, 1st-4th hour, 4th-8th hour, 8th-12th hour, 12th-24th hour postoperatively.. |
| perioperative remifentanil consumption | perioperative | The amounts (mcg) of remifantanil consumed during the surgical procedure will be compared |
| rescue anesthesia | within 24 hours postoperative | In the postoperative 24-hour period, tenoxicam will be administered and recorded as rescue analgesia to patients who feel pain despite patient-controlled nalgesia (tramadol). |
| postoperative nausea-vomiting (PONV) | within 24 hours postoperative | The number of times of nausea and vomiting in the postoperative period will be recorded and compared in both patient groups. A lower numerical value of postoperative nausea-vomiting indicates better patient comfort in the postoperative period. |
| patient satisfaction (5-point Likert scale) | 24 hours after surgery | At postoperative discharge, 5-point Likert satisfaction questionnaire will be administered to the patient. A high numerical value on a five-point Likert satisfaction scale indicates that the patient are satisfied with the procedure performed. |
Countries
Turkey (Türkiye)
Outcome results
None listed