Efficacy of Serratus Anterior Plane Block Mastectomy

Efficacy of Serratus Anterior Plane Block Using Bupivacaine/Magnesium Sulphate Versus Bupivacaine/Nalbuphine for Mastectomy: a Randomized Double Blinded Comparative Study

Breast cancer is the main common cancer among females. . Inadequate control of pain may later develop into chronic pain syndrome (paraesthesias, phantom breast pain, and intercostobrachial neuralgia) in 25-40% of the patients .

The aim of this study is to compare the efficacy of ultrasound-guided serratus anterior plane block with bupivacaine/ magnesium versus bupivacaine/ nalbuphine in breast cancer surgery.

Patients and methods nclusion criteria:

-ASA I and II female patients, age 25-60 undergoing breast cancer surgery

Exclusion criteria:

• Patient refusal
• Contraindications for regional blocks (eg. Infection at the injection site, coagulopathy)
• Allergy to the drugs used in the study
• Chronic pain therapy,
• BMI more than 30 kg/m2

Inclusion Criteria:

• ASA I and II female patients, age 25-60 undergoing breast cancer surgery

Exclusion Criteria:

• -Patient refusal
• Contraindications for regional blocks (eg. Infection at the injection site, coagulopathy)
• Allergy to the drugs used in the study
• Chronic pain therapy,
• BMI more than 30 kg/m2