Comparison Between Serratus Anterior Plane Block and Erector Spinae Plane Block for Mastectomy

NCT ID: NCT04372862

Last Updated: 2022-09-29

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 25 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-10-01
• Study Completion Date: 2020-07-30

Brief Summary

In this study, we are comparing two different techniques of plane blocks to control postoperative mastectomy pain serratus anterior plane block and erector spinae plane block, both are done with ultrasonic guidance We are recording the first time of analgesia request postoperatively as a primary outcome

Conditions

Breast Cancer Postoperative Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: TRIPLE

Study Groups

Serratus anterior plane block

Serratus anterior plane block was performed in the supine position placing the ipsilateral upper limb in abduction 90 degrees position. Aiming to find the serratus anterior muscle the investigator identified the fifth rib in the mid-axillary line by the linear probe in the sagittal plane. The latissimus dorsi muscle (superficial and posterior), teres major muscle (superior) and serratus muscles (deep and inferior) were detected using ultrasound. The investigator penetrated the serratus anterior muscle by a 25 GA, 90 mm spinal needle in-plane concerning the ultrasound probe from superoanterior to posteroinferior to inject deep to it.

Group Type: ACTIVE_COMPARATOR

Plane block

Intervention Type: PROCEDURE

Two different plane blocks to control post-mastectomy pain

Erector spinae plane block

Erector spinae plane block was performed at lateral decubitus with the operation site up, the vertebrae were counted from cephalad to caudal direction until reaching T5 spinous process as the first palpable spinous process is C7. The ultrasound probe was placed vertically 3 cm lateral to the T5 spinous process. Three muscles were identified superficial to the hyperechoic transverse process shadow as follows: trapezius, rhomboid major, and erector spinae. The needle was introduced from superior to inferior direction in-plane until the tip lay deep to erector spinae muscle.

Group Type: ACTIVE_COMPARATOR

Plane block

Intervention Type: PROCEDURE

Two different plane blocks to control post-mastectomy pain

Interventions

Plane block

Two different plane blocks to control post-mastectomy pain

Intervention Type: PROCEDURE

Other Intervention Names

Block

Eligibility Criteria

Inclusion Criteria

• Female patient age 20 to 65
• ASA I, II
• Scheduled for mastectomy

Exclusion Criteria

• Allergy to local anaesthetics
• Infection at the site of performing the block
• Morbidly obese patient of body mass index more than 40 kg/m2

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Suez Canal University

OTHER

Sponsor Role: lead

Responsible Party

Abdelrhman Alshawadfy

Lecturer of anesthesia and intensive care

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Suez Canal University

Ismailia, , Egypt

Countries

Egypt

Other Identifiers

ASPB vs ESBP for mastectomy

Identifier Type: -

Identifier Source: org_study_id