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Erector Spinae Plane Block Versus Serratus Plane Block for Breast Surgery

Primary Purpose

Postoperative Pain, Breast Cancer

Status
Completed
Phase
Not Applicable
Locations
Turkey
Study Type
Interventional
Intervention
Bupivacaine Hcl 0.25% Inj
Bupivacaine HCl Inj 0.25%
Sponsored by
Ataturk University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Postoperative Pain

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • American Society of Anesthesiologist's physiologic state I-III patients
  • undergoing breast cancer surgery
  • 18-65 years

Exclusion Criteria:

  • chronic pain
  • bleeding disorders
  • renal or hepatic insufficiency
  • patients on chronic non-steroidal anti-inflammatory medications
  • emergency cases
  • coagulopathy

Sites / Locations

  • Ataturk University

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

ultrasound guided serratus plane block

ultrasound guided erector spinae plane block

Arm Description

Ultrasound Guided Serratus Plane Block 30 ml %0.25 Bupivacaine

Ultrasound Guided Erector Spinae Plane Block 20 ml %0.25 Bupivacaine

Outcomes

Primary Outcome Measures

Opioid Consumption
First 24 hours total fentanyl consumption with patient controlled analgesia

Secondary Outcome Measures

Visual analog pain score
Post operative pain will be evaluated with a Visual Analogue Scale (VAS) score of 0-10 (0= no pain and 10= worst imaginable pain) at first hour postoperatively
Block Performing Time
The block time was defined as the period between the insertion of the needle and termination of local anesthetic administration

Full Information

First Posted
May 16, 2018
Last Updated
May 9, 2019
Sponsor
Ataturk University
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1. Study Identification

Unique Protocol Identification Number
NCT03538483
Brief Title
Erector Spinae Plane Block Versus Serratus Plane Block for Breast Surgery
Official Title
Erector Spinae Plane Block Versus Serratus Plane Block on Postoperative Opioid Consumption for Modified Radical Mastectomy and Axillary Lymph Node Dissection
Study Type
Interventional

2. Study Status

Record Verification Date
May 2019
Overall Recruitment Status
Completed
Study Start Date
December 1, 2017 (Actual)
Primary Completion Date
September 1, 2018 (Actual)
Study Completion Date
September 30, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Ataturk University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Serratus plane block (SPB) was first described in 2013 by Blanco and designed to primarily block the thoracic intercostal nerves. And this block provides sufficient analgesia lateral anterior and posterior part of thoracic wall.Erector Spinae Plane Block (ESPB) is a newly described and effective interfascial plane block for thoracic and abdominal surgery. It was first described by Forero et al. in 2016, effectiveness being reported in four cases. The aim of this study is to compare Serratus plane block and erector spinae plane block on postoperative pain in patients undergoing modified radical mastectomy and axillary lymph node dissection

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Postoperative Pain, Breast Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ultrasound guided serratus plane block
Arm Type
Active Comparator
Arm Description
Ultrasound Guided Serratus Plane Block 30 ml %0.25 Bupivacaine
Arm Title
ultrasound guided erector spinae plane block
Arm Type
Active Comparator
Arm Description
Ultrasound Guided Erector Spinae Plane Block 20 ml %0.25 Bupivacaine
Intervention Type
Drug
Intervention Name(s)
Bupivacaine Hcl 0.25% Inj
Intervention Description
30 ml %0,25 bupivacaine
Intervention Type
Drug
Intervention Name(s)
Bupivacaine HCl Inj 0.25%
Intervention Description
20 ml %0,25 bupivacaine
Primary Outcome Measure Information:
Title
Opioid Consumption
Description
First 24 hours total fentanyl consumption with patient controlled analgesia
Time Frame
First 24 hours
Secondary Outcome Measure Information:
Title
Visual analog pain score
Description
Post operative pain will be evaluated with a Visual Analogue Scale (VAS) score of 0-10 (0= no pain and 10= worst imaginable pain) at first hour postoperatively
Time Frame
postoperative first24 hours
Title
Block Performing Time
Description
The block time was defined as the period between the insertion of the needle and termination of local anesthetic administration
Time Frame
First hour

10. Eligibility

Sex
Female
Gender Based
Yes
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: American Society of Anesthesiologist's physiologic state I-III patients undergoing breast cancer surgery 18-65 years Exclusion Criteria: chronic pain bleeding disorders renal or hepatic insufficiency patients on chronic non-steroidal anti-inflammatory medications emergency cases coagulopathy
Facility Information:
Facility Name
Ataturk University
City
Erzurum
ZIP/Postal Code
25100
Country
Turkey

12. IPD Sharing Statement

Plan to Share IPD
No

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Erector Spinae Plane Block Versus Serratus Plane Block for Breast Surgery

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