Neoplasms

Skin and Connective Tissue Diseases

All Conditions

Breast Neoplasms

erector spinae block

retrolaminar block

serratus anterior block

pectoral nerve block

Walaa Y Elsabeeny, MD

Breast surgeries are common operative procedures that require appropriate postoperative analgesia.

Numerous pain relief techniques, including several new regional anesthesia techniques, are available for control of acute pain after breast surgery.

Locoregional Blocks for Breast Cancer Surgeries

time to first dose of rescue opioid analgesic

National Cancer Institute, Egypt

Assistant professor of Anesthesia, Surgical Critical care and Pain management

Symptoms and General Pathology

Pain, Postoperative

Pain

Breast Diseases

Skin Diseases

Adjuvants, Anesthesia

Analgesics

Central Nervous System Depressants

All Drugs and Chemicals

Fentanyl

Anesthetics

Ropivacaine

Anesthetics, Local

After induction of anesthesia, patients take ultrasound guided serratus anterior plane block with 0.5ml/kg of ropivacaine 0.375%. 30minutes before the end of operation, intravenous patient controlled analgesia (Basal rate 0ml/hr, 0.5mcg/kg of fentanyl, lock-out time 10minutes) is connected to patient.

Ultrasound guided serratus anterior block with ropivacaine

same dose of intravenous patient controlled analgesia (Basal rate 0ml/hr, 0.5mcg/kg of fentanyl, lock-out time 10minutes) is connected to patient only.

intravenous PCA only

Ultrasound guided serratus anterior plane block may decrease acute postoperative pain and consumption of opioid after mastectomy.

Analgesic Effect to Postoperative Pain After Mastectomy: Ultrasound-guided Serratus Anterior Plane Block

Assessing total opioid consumption (total number of bolus injection and total dose of fentanyl via intravenous patient controlled analgesia) within 24hours after operation finished.

Yonsei University

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Locoregional Blocks for Breast Cancer Surgeries	NCT06230575	Analgesia	erector spinae ... retrolaminar bl... serratus anteri... pectoral nerve ...	18 Years - 65 Years	National Cancer Institute, Egypt
Analgesic Effect to Postoperative Pain After Mastectomy: Ultrasound-guided Serratus Anterior Plane Block	NCT02483923	Breast Cancer	Ultrasound guid... intravenous PCA...	20 Years - 80 Years	Yonsei University
Analgesic Effect to Postoperative Pain After Mastectomy: Ultrasound-guided Serratus Anterior Plane Block	NCT02483923	Breast Cancer	Ultrasound guid... intravenous PCA...	20 Years - 80 Years	Yonsei University

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