Breast Reduction, Postoperative Pain Control
Conditions
Keywords
breast reduction, postoperative pain control
Brief summary
Surgeon guided serratus block, which can be performed by the surgeon in participants undergoing breast reduction surgery, may reduce the sensation of pain from the surgical field in the postoperative period. Thus, participants experience less pain in the postoperative period, consume less analgesics, and there is a decrease in related complications. The aim of this study was to evaluate the effects of the intraoperative surgeon guided serratus block applied on the analgesic consumption of the participants in the first 24 hours after surgery in participants undergoing breast reduction surgery.
Interventions
OTHERsurgeon guided serratus block
Surgeon guided Serratus Block will be applied before closing dermoglandular flaps
Sponsors
alperen can kokten
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Patient's willingness to be included in the study * 18-65 years * Woman * Operated with inferior pedicled breast reduction technique * The distance from the sternal notch to the nipple complex is between 25-40cm * ASA I-II * Breast Usg result BIRADS 1-2 * Patients who have not previously received RT to the breast and have no history of malignancy
Exclusion criteria
* Patient's request/refusal not to be included in the study * Previous history of malignancy * RT story, * ASA 3-4-5-patient group * Severe organ failure * Alcohol, drug addiction * Bupivacaine allergy * Diagnosis of psychiatric illness and psychiatric drug use * Surgery lasting longer than 3 hours * Bleeding diathesis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 24 hours postoperatively opioid consumption | 24 hours | In the postoperative period, patients will be given opioids according to their pain density with a patient-controlled device, and the daily Morphine consumption in Patient Controlled Analgesia device will be collected and compared between groups. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| post-operative acute pain status, post-operative nausea-vomiting status, post-operative NRS determination of pain at rest and in motion determination of complications such as nausea, vomiting, itching, determination of the first PCA analgesic request. | 24 hours | Changes in the Numerical Rating Scale (NRS) will be recorded at rest and during movement. The participant's baseline NRS will be recorded, followed by measurements before and after neuraxial positioning and up to 24 hours post-surgery. The NRS is a unidimensional measure of pain intensity in adults. The 11-point numerical scale ranges from '0' representing one end of the pain spectrum (e.g. 'no pain') to '10' representing the other end (e.g. 'worst imaginable pain'). |
Countries
Turkey (Türkiye)
Contacts
STUDY_DIRECTORAyhan Sönmez
SAMSUN UNİVERSİTY
Outcome results
None listed