Transverse vs. Longitudinal Serratus Anterior Plane Block in Breast Surgery

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorAnkara Etlik City Hospital

About this trial

The aim of this prospective, randomized controlled trial is to compare the analgesic efficacy of transverse versus longitudinal ultrasound probe orientations during Serratus Anterior Plane (SAP) block in patients undergoing breast surgery. The study hypothesizes that the longitudinal approach (probe parallel to the ribs) may provide better craniocaudal spread of the local anesthetic, thereby resulting in lower postoperative Visual Analog Scale (VAS) scores and reduced opioid consumption compared to the standard transverse approach.

Eligibility criteria

Qualifiers

Patients aged between 18 and 65 years

American Society of Anesthesiologists (ASA) physical status I, II, or III

BMI between 18 - 30 kg/m2

Patients scheduled for elective breast surgery

Disqualifiers

Known allergy to local anesthetics

Infection at the injection site

Severe coagulopathy or use of anticoagulants

Chronic opioid use or history of neuropathic pain

Trial design

Treatments tested in this trial

  • Transverse SAP Block
  • Longitudinal SAP Block

Treatment groups

70 Participants
are divided into 2 treatment groups

Sponsors and collaborators