Serratus Posterior Superior Intercostal Plane Block, Versus Erector Spinae Facial Plane Blocks
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: serratus posterior superior block, erector spinae block.
- Who it may be relevant to
- Registry conditions: Breast Surgery. Basic parameters: 18 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Serratus Posterior Superior Intercostal Plane Block, Versus Erector Spinae Facial Plane Blocks A Comparative Study for Postoperative Pain Control and Opioid Consumption for Patient Undergoing Modified Radical Mastectomy Surgery
Overview
Mastectomy is currently the most effective treatment for breast cancers in women. postoperative pain management carries a high degree of difficulty, as the breast has complex innervation involving the intercostal (T1-T7), superficial cervical plexus (supraclavicular nerves) and brachial plexus .While severe acute pain is observed in approximately 40% of post-mastectomy patients, moderate-to-severe pain is observed in almost one-third of them .
Interventions
- Procedure serratus posterior superior block
patients were placed in the lateral decubitus position for SPSIPB. The blocks were performed under the guidance of ultrasonography (USG), a high-frequency linear probe (SonoSite HFL50x, 15-6 MHz, 55-mm broadband linear array, USA) transducer was placed at the level of the spine scapula in the transverse plane, and the upper medial border of the scapula, trapezius muscle, serratus posterior superior muscle (SPSM), 2nd and 3rd ribs were visualized. The ultrasound probe is rotated 90 degrees in a p - Procedure erector spinae block
US-guided ESPB, a commonly performed interfascial plane block, was first defined by Forero et al. (21). In this technique, LA is injected in the plane between the erector spinae muscles and the thoracic transverse processes. Thus, multiple thoracic levels are anesthetized by the LA spreading in a craniocaudal direction. The transducer was then placed approximately 3 cm lateral to the midline parasagittally. The T5 transverse process and the erector spinae, rhomboid major, trapezius muscles were
Primary outcome measures
- Morphine consumption [Time frame: 24 hours post operatively]
Eligibility criteria
Inclusion criteria
- age 18 to 65 years
- ASA classification I and II
Exclusion criteria
- age below 18 or above 65 years
- ASA classification III or more
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Quadruple blind
- Primary purpose
- Other
Study locations
Egypt · 1 center
- Ain Shams university — Cairo
Identifiers
NCT: NCT06989372 · FMASU R68/2025