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The aim of this study is to evaluate the analgesic efficacy of combined ultrasound (US)-guided pectoral nerve (PECS) block II and transversus thoracic plane (TTP) block versus US-guided serratus anterior plane (SAP) block in female patients undergoing modified radical mastectomy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group I (pectoral nerve (PECS) block -transversus thoracic plane (TTP) block group) | Experimental | Patients will receive unilateral US-guided PECS II block and TTP block on the side of the operation after induction of general anesthesia. |
|
| Group II (serratus anterior plane (SAP) block group) | Experimental | Patients will receive US-guided SAP block after induction of general anesthesia. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pectoral nerve (PECS) block -transversus thoracic plane (TTP) block | Procedure | Patients will receive unilateral US-guided PECS II block and TTP block on the side of the operation after induction of general anesthesia. |
| Measure | Description | Time Frame |
|---|---|---|
| The total amount rescue analgesic consumption (morphine) in the first 24 hours postoperatively. | Rescue analgesia in the form of morphine (3mg IV) will be given if the VAS is ≥ 40, repeated with lock out interval of 5 min guided with the occurrence of complications till the VAS is decreased to less than 40. | First 24 hours postoperatively. |
| Measure | Description | Time Frame |
|---|---|---|
| The degree of postoperative pain | Postoperative pain will be assessed by Visual Analog scale (VAS) on admission to Post-Anesthesia Care unit (PACU) and at 30 minutes and then 1,2,4,6,12,18 and 24 hours postoperative. VAS (0-100; where 0 represents no pain and 100 represents the worst pain). | First 24 hours postoperatively. |
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Inclusion Criteria:
Exclusion Criteria:
female
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine Tanta University | Tanta | Elgharbia | 31527 | Egypt |
The data will be available upon reasonable request.
one year
The data will be available upon reasonable request.
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| Serratus anterior plane (SAP) block | Procedure | Patients will receive US-guided SAP block after induction of general anesthesia. |
|
| Time to first rescue analgesia request. |
Rescue analgesia in the form of morphine (3mg IV) will be given if the VAS is ≥ 40, repeated with lock out interval of 5 min guided with the occurrence of complications till the VAS is decreased to less than 40. |
| First 24 hours postoperatively. |
| Intraoperative fentanyl consumption. | Additional boluses of fentanyl 0.5 µg /kg will be administered in case of inadequate analgesia that defined as increase of heart rate (HR) and /or mean arterial blood pressure (MAP) more than 20 % from baseline | Intraoperative |
| ID | Term |
|---|---|
| D001733 | Bites and Stings |
| ID | Term |
|---|---|
| D011041 | Poisoning |
| D064419 | Chemically-Induced Disorders |
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| C000628028 | thiamine triphosphorate |
| D003766 | Dental Occlusion |
| ID | Term |
|---|---|
| D003813 | Dentistry |
| D009063 | Dental Physiological Phenomena |
| D055688 | Digestive System and Oral Physiological Phenomena |
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