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Postoperative analgesia in breast surgery is a difficult and overworked issue due to etensive surgery and complex innervation of the breast. Erector spinae plane block (ESB) is a new defined and promising regional anesthesia technique for thoracic analgesia. Main purpose of this study is to compare the analgesic effect of ultrasound guided ESB with thoracic paravertebral block - the golden standard method for postoperative regional analgesia technique in breast surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ESP group | Active Comparator | Erector Spinae Plane Block administered group |
|
| TPVB group | Active Comparator | Thoracic Paravertebral Block administered group |
|
| Control Group | Other | No regional anesthesia technique will be applied to control group; but will be provided with iv PCA |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intravenous morphine patient controlled device | Device | 24 hour morphine consumption will be recorded |
|
| Measure | Description | Time Frame |
|---|---|---|
| Morphine consumption | All patients will be provided with IV morphine PCA and morphine consumption after 24 hour postoperatively will be recorded. | 24 hour postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Numering Rating Scale scores for pain | Numeric Rating Scale (NRS) for pain will be used. The Numeric Rating Scale (NRS-11) is an 11-point scale for patient self-reporting of pain. It is for adults and children 10 years old or older. 0 means no pain and 10 means most imaginable pain | 24 hour |
| Postoperative nausea and vomiting |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kocaeli University Hospital | Kocaeli | 41340 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31280100 | Derived | Gurkan Y, Aksu C, Kus A, Yorukoglu UH. Erector spinae plane block and thoracic paravertebral block for breast surgery compared to IV-morphine: A randomized controlled trial. J Clin Anesth. 2020 Feb;59:84-88. doi: 10.1016/j.jclinane.2019.06.036. Epub 2019 Jul 4. |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| Erector Spinae Plane Block | Other | erector spinae plane block will be administered before the surgery |
|
| Thoracic Paravertebral Block | Other | thoracic paravertebral block will be administered before the surgery |
|
Incidence of postoperative nausea and vomiting will be recorded |
| 24h |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |