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"Serratus Anterior Plane Block" Versus "Serratus Posterior Superior Plane Intercostal Plane Block" for Patients Undergoing Breast Surgery

NCT ID: NCT06711549

Last Updated: 2024-12-02

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-20

Study Completion Date

2026-11-01

Brief Summary

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The Serrato Posterosuperior Block (SPSIP) is a recently discovered technique that provides analgesia to the hemithorax, shoulders, neck and back. At an anatomical level, it has been seen that this technique allows the diffusion of local anesthetic starting from C7 proceeding dorsally up to T10 by sectioning the trapezius, latissimus dorsi, rhomboid and erector spinae muscles. The serratus anterior block (SAPB) is a technique that allows local anesthetic to be injected between the serratus anterior muscle and the intercostal muscles (deep plane) or between the latissimus dorsi muscle and the serratus anterior muscle (superficial plane), also providing analgesia at of the chest wall. This study aims to compare the analgesic efficacy of SPSIPB and SAPB in patients undergoing radical mastectomy for breast cancer

Detailed Description

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Conditions

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Pain, Postoperative Breast Cancer Anesthesia Mastectomy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Patients receiving Serratus Posterior Superior Plane Intercostal Plane block

The patients will undergosurgery after receiving an ultrasound guided serratus posterior superior intercostal plane block

Group Type EXPERIMENTAL

Serratus Posterior Superior Plane Intercostal Plane block

Intervention Type PROCEDURE

Under ultrasound guidance; local anesthetic will be injected in the plane between the posterior aspect of the serratus posterior superior plane and the ribs

Serratus Anterior Plane Block

The patients will undergosurgery after receiving an ultrasound guided serratus anterior plane block

Group Type ACTIVE_COMPARATOR

Serratus Anterior Plane block

Intervention Type PROCEDURE

Under ultrasound guidance; local anesthetic will be injected in the plane between the posterior aspect of the serratus anterior and the external intercostal muscles and ribs

Interventions

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Serratus Posterior Superior Plane Intercostal Plane block

Under ultrasound guidance; local anesthetic will be injected in the plane between the posterior aspect of the serratus posterior superior plane and the ribs

Intervention Type PROCEDURE

Serratus Anterior Plane block

Under ultrasound guidance; local anesthetic will be injected in the plane between the posterior aspect of the serratus anterior and the external intercostal muscles and ribs

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Adult Patient ( \> 18 years)
* Informed consent
* American Society of Anaesthesiologis Phisical Status I to III
* Patients undergoing for mastectomy with sentinel lynphnode byopsy/axillary clearence

Exclusion Criteria

* Pregnant women
* Allergy to any drug present in the protocol
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Azienda Ulss 6 Euganea

OTHER

Sponsor Role collaborator

Ospedale di Camposampiero

OTHER

Sponsor Role lead

Responsible Party

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Valentina Scaduto

Medical Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Valentina Scaduto

Role: CONTACT

[email protected]
3272217089 ext. +390499424898

References

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Rogobete AF, Sandesc D. General Anesthesia as a Multimodal Individualized Clinical Concept. Medicina (Kaunas). 2022 Jul 19;58(7):956. doi: 10.3390/medicina58070956.

Reference Type RESULT
PMID: 35888675 (View on PubMed)

Nelson G, Fotopoulou C, Taylor J, Glaser G, Bakkum-Gamez J, Meyer LA, Stone R, Mena G, Elias KM, Altman AD, Bisch SP, Ramirez PT, Dowdy SC. Enhanced recovery after surgery (ERAS(R)) society guidelines for gynecologic oncology: Addressing implementation challenges - 2023 update. Gynecol Oncol. 2023 Jun;173:58-67. doi: 10.1016/j.ygyno.2023.04.009. Epub 2023 Apr 21.

Reference Type RESULT
PMID: 37086524 (View on PubMed)

Other Identifiers

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2024/Sapvsspis

Identifier Type: -

Identifier Source: org_study_id