Ignite Creation Date:
2024-10-25 @ 7:50 PM
Last Modification Date:
2024-10-26 @ 3:41 PM
Study NCT ID:
NCT06611644
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-09-22
Brief Title:
Comparison of ESP and SPSIP Blocks in Breast Surgery
Sponsor:
None
Organization:
None
Study Overview
Official Title:
A Comparative Analysis of Erector Spinae Plane ESP Block and Serratus Posterior Superior Intercostal Plane SPSIP Block in Breast Surgery
Status:
RECRUITING
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study aims to compare the efficacy of the ESP and SPSIP blocks in managing postoperative pain following breast surgery Breast surgery particularly after oncological and reconstructive procedures often leads to significant postoperative pain Effective pain control is crucial for accelerating recovery reducing the risk of complications and facilitating early discharge Both ESP and SPSIP blocks involve the administration of local anesthetics into fascial plane spaces to achieve peripheral nerve blockade and control pain This study will evaluate the effectiveness of these blocks in terms of pain scores opioid consumption and overall patient satisfaction to determine the optimal approach for postoperative pain management in breast surgery
Detailed Description:
Breast surgery is one of the most frequently performed procedures and effective postoperative pain management is critical to its success Proper pain control not only facilitates early mobilization but also reduces the risks of pulmonary complications deep vein thrombosis and embolism It helps prevent stress-induced endocrine and metabolic responses shortens hospital stays and lowers healthcare costs Regional anesthesia is a highly effective strategy for postoperative pain control minimizing opioid use and its associated side effects such as sedation nausea vomiting and constipation
Among the commonly used regional anesthesia techniques in breast surgery are the Erector Spinae Plane ESP block Serratus Anterior Plane block and Pectoral block While the ESP block appears more effective conflicting evidence exists regarding its efficacy in postoperative pain management with variability in block spread across individuals The recently introduced Serratus Posterior Superior Intercostal Plane SPSIP block a periparavertebral block offers a wider distribution range from C3 to T7 dermatomes suggesting potential for more comprehensive postoperative analgesia in breast procedures
The ESP block is performed under ultrasound guidance using an in-plane technique to advance the needle from caudal to cranial or vice versa targeting the lateral part of the T6 transverse process where local anesthetic is injected between the erector spinae muscle and the transverse process For the SPSIP block the needle is advanced between the second and third ribs towards the medial scapula reaching the fascial plane between the serratus posterior superior muscle and the intercostal muscles After hydrodissection confirms placement local anesthetic is injected
This study aims to compare the efficacy of ESP and SPSIP blocks in managing postoperative pain in breast surgery by evaluating pain scores opioid consumption and patient satisfaction Since no study has yet directly compared these blocks the findings will make a significant contribution to the existing literature
Among the commonly used regional anesthesia techniques in breast surgery are the Erector Spinae Plane ESP block Serratus Anterior Plane block and Pectoral block While the ESP block appears more effective conflicting evidence exists regarding its efficacy in postoperative pain management with variability in block spread across individuals The recently introduced Serratus Posterior Superior Intercostal Plane SPSIP block a periparavertebral block offers a wider distribution range from C3 to T7 dermatomes suggesting potential for more comprehensive postoperative analgesia in breast procedures
The ESP block is performed under ultrasound guidance using an in-plane technique to advance the needle from caudal to cranial or vice versa targeting the lateral part of the T6 transverse process where local anesthetic is injected between the erector spinae muscle and the transverse process For the SPSIP block the needle is advanced between the second and third ribs towards the medial scapula reaching the fascial plane between the serratus posterior superior muscle and the intercostal muscles After hydrodissection confirms placement local anesthetic is injected
This study aims to compare the efficacy of ESP and SPSIP blocks in managing postoperative pain in breast surgery by evaluating pain scores opioid consumption and patient satisfaction Since no study has yet directly compared these blocks the findings will make a significant contribution to the existing literature
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None