Comparison of Erector Spina Plan Block and Rhomboid Intercostal Block in Breast Surgery

NCT ID: NCT06177665

Last Updated: 2025-10-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-01

Study Completion Date

2024-06-01

Brief Summary

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In this study, the investigators compared ultrasound-guided erector spinae plane (ESP) block and rhomboid intercostal block (RIB) on postoperative analgesic effect in unilateral breast surgery.

Detailed Description

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After being informed about the study and potential risks, written consent was obtained from all patients.Patients who meet eligibility requirements will be randomized in a 1:1 ratio to erector spinae plane block and rhomboid intercostal block.

Conditions

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Postoperative Pain Analgesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Participants

Study Groups

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Erector Spinae Plane Block

Ultrasound(US)-guided erector spinae plan block(ESP) with 20 ml 0,25% bupivacaine at T4 vertebra level will performe preoperatively to all patients in the ESP group.

Group Type EXPERIMENTAL

Erector Spinae Plane Block

Intervention Type OTHER

Ultrasound(US)-guided erector spinae plan block(ESP) with 20 ml 0,25% bupivacaine at T4 vertebra level will performe preoperatively to all patients in the ESP group.

Rhomboid Intercostal Block

Ultrasound(US)-guided rhomboid intercostal block(RIB) with 20 ml 0,25% bupivacaine at T5-T6 vertebra level will performe preoperatively to all patients in the RIB group.

Group Type EXPERIMENTAL

Rhomboid Intercostal Block

Intervention Type OTHER

Ultrasound(US)-guided rhomboid intercostal block(RIB) with 20 ml 0,25% bupivacaine at T5-T6 vertebra level will performe preoperatively to all patients in the RIB group.

Interventions

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Erector Spinae Plane Block

Ultrasound(US)-guided erector spinae plan block(ESP) with 20 ml 0,25% bupivacaine at T4 vertebra level will performe preoperatively to all patients in the ESP group.

Intervention Type OTHER

Rhomboid Intercostal Block

Ultrasound(US)-guided rhomboid intercostal block(RIB) with 20 ml 0,25% bupivacaine at T5-T6 vertebra level will performe preoperatively to all patients in the RIB group.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients who will undergo unilateral breast-conserving surgery (BCS) or modified radical mastectomy (MRM) with or without axillary lymph node dissection
* Patients undergoing elective surgery
* ASA (American Society of Anesthesiologists) physical status classification I-III

Exclusion Criteria

* Use of anticoagulants
* Allergy to the medications to be used
* Patients who use analgesic drugs due to a history of chronic pain
* ASA (American Society of Anesthesiologists) physical status classification IV-V
* Patients with psychiatric disorders
* Presence of infection in the area where the block will be applied
* Presence of deformity in the patient's spinal, paraspinal and area where the block will be applied
* The patient does not accept the block application or cannot cooperate with the patient
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Kocaeli University

OTHER

Sponsor Role lead

Responsible Party

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Gulnihal Avci

Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sevim Cesur Okan

Role: STUDY_DIRECTOR

Kocaeli University

Locations

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Kocaeli University

Kocaeli, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Related Links

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https://pubmed.ncbi.nlm.nih.gov/34133831/

Comparison of rhomboid intercostal nerve block, erector spinae plane block and serratus plane block on analgesia for modified radical mastectomy: A prospective randomised controlled trial.

https://pubmed.ncbi.nlm.nih.gov/33426660/

Ultrasound-guided fascial plane blocks of the chest wall: a state-of-the-art review

Other Identifiers

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KAEK/08.bI.02

Identifier Type: -

Identifier Source: org_study_id

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