Rhomboid Intercostal Block Versus Serratus Anterior Plane Block

Ultrasound Guided Rhomboid Intercostal Block Versus Serratus Anterior Plane Block for Analgesia After Thoracodorsal Artery Perforator Flap Following Partial Mastectomy

evaluate and compare the impact of ultrasound guided rhomboid intercostal block versus serratus anterior plane block for analgesia after thoracodorsal artery perforator flap following partial mastectomy

• To assess and compare quality of post- operative analgesia in each group.
• Time of performance of block in both groups.
• To assess and compare post-operative hemodynamics as well as anticipated adverse effects including nausea, vomiting, itching, hemorrhage, bradycardia, hypotension.

Inclusion Criteria:

• Adult patients aged between 21 to 60 years
• Undergoing pedicled thoracodorsal artery perforator flap following breast conserving surgery -General anesthesia
• Informed consents
• ASA I & II
• Body mass index 25-30 kg/m2.

Exclusion Criteria:

• patients on anti-platelet, anticoagulant or B blocker drugs
• Patients with acute decompensated heart failure, hypertension, heart block, coronary disease, Asthma, bleeding disorders, compromised renal or hepatic function
• history of allergy to local anesthesia or opioid analgesia,
• pregnancy.