Pain Management After Surgery, Regional Anaesthesia
Conditions
Keywords
SAP, Deep SAP Block, Regional block, Peripheral block, Peripheral block cathather, continuous infusion via peripheral block cathather
Brief summary
The aim of this observational study is to compare the analgesic efficacy of continuous infusion via peripheral catheter versus single-shot serratus anterior plane block in women aged 18 to 80 undergoing breast-conserving surgery. The main questions it aims to answer are: Does continuous serratus anterior plane block via peripheral catheter provide superior postoperative analgesic efficacy compared to single-shot serratus anterior plane block? Second question is: Does continuous infusion via catheter in peripheral nerve blocks reduce the amount of intravenous analgesics consumed and improve patient comfort?
Interventions
The SAP block, which is among the chest wall blocks, provides its effect by blocking the lateral cutaneous branches of the T2-T9 intercostal nerves, n. intercostobrachial , n. longus thoracicus , n. thoracodorsal. SAP block can be performed in two ways: superficial and deep. The deep SAP block is administered between the serratus anterior and intercostal muscles, at the intersection point of the anterior axillary line and the level of the nipple (at the level of the 4th-5th ribs). It has a wide range of use for postoperative pain management in trauma surgery, cardiac surgery, thoracic surgery and breast surgery.
PROCEDUREDSAPB
The SAP block, which is among the chest wall blocks, provides its effect by blocking the lateral cutaneous branches of the T2-T9 intercostal nerves, n. intercostobrachial , n. longus thoracicus , n. thoracodorsal. SAP block can be performed in two ways: superficial and deep. The deep SAP block is administered between the serratus anterior and intercostal muscles, at the intersection point of the anterior axillary line and the level of the nipple (at the level of the 4th-5th ribs). Following hydrodissection between the serratus anterior and intercostal muscles, a single-shot injection is administered. Subsequently, a peripheral nerve block catheter is placed in the same region under ultrasound guidance.
Sponsors
Istanbul Medeniyet University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Female patients aged 18 to 80 years * Scheduled for breast-conserving surgery * Classified as American Society of Anesthesiologists (ASA) physical status I, II, or III
Exclusion criteria
* Patients with coagulopathy * Patients with wounds or infections at the block site * Patients with known allergy to local anesthetic agents * Patients with mental retardation or limited cooperation * Patients who do not consent to participate in the study * Patients who, for any reason, discontinue participation during the course of the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Rating Scale | Until discharge after surgery, during an average hospital stay of approximately 24 hours. | 1 - 10 1 is minimum pain 10 is maximum pain the lower scale is better for pain management. |
Countries
Turkey (Türkiye)
Outcome results
None listed