The Efficacy of Ultrasound-Guided Rhomboid Intercostal Block Versus Serratus Plane Block in Mastectomy.

Last updated: February 28, 2022
Sponsor: Tanta University
Overall Status: Active - Recruiting

Phase

N/A

Condition

Mastectomy

Treatment

N/A

Clinical Study ID

NCT05156775
34981/10/21
  • Ages 18-65
  • Female

Study Summary

The aim of this study is to evaluate analgesic efficacy of ultrasound-guided rhomboid plane block or serratus plane block versus Intravenous opioid in patients undergoing modified radical mastectomy.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Female patients
  • Scheduled for unilateral modified radical mastectomy.
  • Age 18-65 years
  • American Society of Anesthesiologists (ASA) physical status I- II

Exclusion

Exclusion Criteria:

  • Patient refusal
  • Coagulation disorders
  • Body mass index > 35 kg/m2
  • Uncooperative or psychiatric patients
  • Infection at the injection site
  • Patients with a history of allergy to local anesthetics
  • Patients with a history of treatment for chronic pain
  • Previous history of breast surgery or other chest surgery

Study Design

Total Participants: 105
Study Start date:
January 01, 2022
Estimated Completion Date:
May 29, 2022

Study Description

Breast cancer is the most frequently diagnosed malignancy and is the leading cause of cancer-related death among the female population.

Modified radical mastectomy (MRM) is the standard surgical treatment for cancer breast, which is usually associated with moderate to severe acute postoperative pain. Adequate postoperative pain relief is important to improve functional outcomes and to accelerate recovery and decrease hospital stay.

The postoperative pain may last >3 to 6 months after surgery and may proceed to chronic pain, with an incidence of 20% to 30%. Because chronic pain has many negative effects on patients, it may decrease the overall quality of life and may be a potential source of chronic opioid use. Therefore, preventing chronic pain is essential in these patients. In this regard, good acute postoperative pain management strategies have a very important role.

Regional anesthesia techniques can provide good postoperative pain management and may cause less incidence of chronic pain.

Many analgesic techniques have been proposed to relieve acute postoperative pain, including intercostal block, local anesthetic (LA) infiltration, block, paravertebral block, serratus plane block (SPB), and rhomboid intercostal block (RIB) to relieve acute postoperative pain

Connect with a study center

  • Tanta University Hospital

    Tanta, Elgharbia 31511
    Egypt

    Active - Recruiting

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