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Serratus Posterior Superior vs Erector Spinae Plane Block for Breast Surgery

ConditionPostoperative Pain
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age25-65
SponsorSakarya University

About this trial

Postoperative pain after mastectomy remains a significant clinical problem that may impair patient comfort and delay early rehabilitation, potentially affecting functional recovery. Various analgesic techniques are used to manage postoperative pain. This study aims to compare serratus posterior superior intercostal plane block and erector spinae plane block, which are routinely used in our clinic for postoperative analgesia in patients undergoing mastectomy, in terms of ease of application and patient comfort.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients aged 25-65 years American Society of Anesthesiologists (ASA) physical status I-III Patients scheduled for mastectomy under general anesthesia Patients with no history of previous breast surgery Patients who provide written informed consent to participate in the study

Disqualifiers

ASA physical status IV and above History of alcohol or substance abuse Known allergy to local anesthetics or opioids Patients with severe psychiatric disorders Patients who refuse to participate or do not provide informed consent

Trial design

Design model

Parallel

Treatments tested in this trial

  • Serratus posterior superior intercostal plane block

    Procedure/Surgery

    Participants in this group will receive an ultrasound-guided serratus posterior superior intercostal plane (SPSIP) block for postoperative analgesia following mastectomy. The block will be performed under standardized conditions prior to surgery according to the study protocol.

  • Erector Spinae Plane Block

    Procedure/Surgery

    Participants in this group will receive an ultrasound-guided erector spinae plane (ESP) block for postoperative analgesia following mastectomy. The block will be performed under standardized conditions prior to surgery according to the study protocol.

Treatment groups

64 Participants
are divided into 2 treatment groups
Group A: Serratus Posterior Superior Intercostal Plane Block GroupExperimental treatment 1 intervention
Group B: Erector Spinae Plane Block GroupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Ease of block application (procedure difficulty score)

The ease of application of the block will be evaluated using a 10-point numerical rating scale (0-10), where lower scores indicate easier application and higher scores indicate greater procedural difficulty. The score will be assigned by the anesthesiologist performing the block immediately after completion of the procedure.

Time frame
Immediately after block performance

Secondary outcomes

1

Postoperative pain score at 24 hours

Postoperative pain intensity will be assessed using a 10-cm Visual Analog Scale (0 = no pain, 10 = worst imaginable pain) at 24 hours after surgery.

Time frame
24 hours postoperatively
2

Quality of recovery at 24 hours

Postoperative recovery quality will be assessed using the Quality of recovery (QoR-15) questionnaire at 24 hours after surgery. The total score ranges from 0 to 150, with higher scores indicating better recovery.

Time frame
24 hours postoperatively

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Sakarya University

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: