IPP-PSP Block vs. SPSIPB in Breast Surgery

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-65
SponsorZonguldak Bulent Ecevit University

About this trial

This prospective, randomized clinical study aims to compare the analgesic efficacy of the interpectoral-pectoserratus plane block and the serratus posterior superior intercostal plane block for postoperative pain management in patients undergoing breast cancer surgery. Both techniques are ultrasound-guided regional anesthesia methods targeting different interfascial planes of the thoracic wall. The study will evaluate postoperative pain scores, opioid consumption, Quality of recovery and potential complications. The findings are expected to contribute to optimizing regional anesthesia strategies for enhanced recovery and improved analgesia following breast cancer surgery.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

18-65 years of age

ASA I-II-III risk groups

Patients with informed consent

Patients undergoing breast cancer surgery

Disqualifiers

ASA ≥ IV

History of allergy to local anesthetics

Known coagulation disorders

Infection near the insertion site

Trial design

Design model

Parallel

Treatments tested in this trial

  • Interpectoral-Pectoserratus Plane Block

    Procedure/Surgery

    Ultrasound-guided injection between pectoralis major-minor and pectoralis minor-serratus anterior planes.

  • Serratus Posterior Superior Intercostal Plane Block

    Procedure/Surgery

    Ultrasound-guided injection between the serratus posterior superior muscle and the intercostal muscles.

Treatment groups

70 Participants
are divided into 2 treatment groups
Group A: Group IPP-PSPActive comparator 1 intervention
Group B: Group SPSIPBActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Cumulative opioid consumption

Cumulative opioid consumption in the first 24 postoperative hours after the completion of the surgical procedure

Time frame
in the first 24 hours after completion of the surgical procedure

Secondary outcomes

1

Postsurgical Quality of Recovery measured by the Quality of Recovery questionnaire

Postsurgical recovery by Quality of Recovery questionnaire (QoR-15) on first (D1) day after surgery. The minimum score on the Quality of Recovery questionnaire is 0 and the maximum score 150. Higher scores mean better quality of recovery.

Time frame
first day after surgery
2

Number of episodes of postoperative pain

Number of episodes of postoperative pain (NRS score ≥ 4) at rest and at deep inspiration in the first 24 postoperative hours after the completion of the surgical procedure

Time frame
In the first 24 hours after completion of the surgical procedure

Other outcomes

Sponsors and contacts

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