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the aim of the study compare the analgesic effect of erector spinae block and serratus anterior block in breast surgery
Breast reduction surgery is a common cosmetic surgical procedure. Providing effective analgesia has a crucial role in reducing side effects, catalyzing postoperative recovery, and increasing patient satisfaction. Regional anesthesia techniques are generally used for postoperative analgesia to decrease opioid-related side effects. Fascial plane block has gained popularity for breast analgesia. The investigator aimed to consider the effects of ESP block or Serratus Anterior Plane block on postoperative analgesia in breast reduction surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ESP block group | Active Comparator | Bilateral ultrasound guided erector spine plane (ESP) block will be performe preoperatively at T5 level. 20 mL local anesthetics (10 mL 0.5% bupivacaine + 10 mL serum physiologic % l) will be injected deep to the erector spinae muscle |
|
| SAP Block grup | Other | Bilateral ultrasound guided serratus plane block with 20 ml %0,25 bupivacaine at the midaxillary 5. Rib |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| erector spine plane (ESP) block | Procedure | Bilateral ultrasound guided erector spine plane (ESP) block will be performe preoperatively at T5 level. 20 mL local anesthetics (10 mL 0.5% bupivacaine + 10 mL serum physiologic % l) will be injected deep to the erector spinae muscle. |
| Measure | Description | Time Frame |
|---|---|---|
| Opioid consumption | Tramadol consumption in Patient Controlled Analgesia device postoperative 24 hours. | 24 hour |
| Measure | Description | Time Frame |
|---|---|---|
| Pain assessed by NRS | Post operative pain will be evaluated with Numeric rating scale (NRS) score of 0-10 (0= no pain and 10= pain) and will be recorded at 0,1,4,12,24. At hours postoperatively. | 24 hour |
| Rate of opioid related side effects |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| AYSE SURHAN CINAR | SISLI HAMIDIYE ETFAL RESEARCH AND TRAINING | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sisli etfal research and training hospital | Istanbul | 34371 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| D009293 | Opioid-Related Disorders |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D010268 | Parapsychology |
| D003766 | Dental Occlusion |
| ID | Term |
|---|---|
| D001525 | Behavioral Sciences |
| D004191 | Behavioral Disciplines and Activities |
| D003813 | Dentistry |
| D009063 | Dental Physiological Phenomena |
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|
| Serratus Anterior Plane Block | Procedure | Bilateral ultrasound guided serratus plane block with 20 ml %0,25 bupivacaine at the midaxillary 5. Rib |
|
Opioid related side effects such as nause/vomiting, pruritis, bradycardia, hypotension will be evaluated at intervals up to 24 hours.
| 24 hour |
| Blooad loss | Peroperative and postoperative blood loss and amaoun of eritrosit suspansion | during surgery |
| Remifentanil consumption | Peroperative Remifentanil consumption | during surgery |
| Length of stay in hospital | Length of stay in hospital | 30 days |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D000079524 | Narcotic-Related Disorders |
| D019966 | Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
| D055688 | Digestive System and Oral Physiological Phenomena |