Open AccessProspective Study: The Analgesic Efficacy of Ultrasound-Guided Erector Spinae Plane Block versus Serratus Plane Block in Patients Undergoing Modified Radical Mastectomy
Author(s) -
Martina Farag Wahba Mekhaeil,
Ahmed Yousef,
Hesham Mohammed Marof,
Shaimaa Farouk Abdelkader
Publication year - 2021
Publication title -
journal of advances in medicine and medical research
Language(s) - English
Resource type - Journals
ISSN - 2456-8899
DOI - 10.9734/jammr/2021/v33i2331180
Subject(s) - medicine , bupivacaine , analgesic , anesthesia , modified radical mastectomy , breast cancer , surgery , mastectomy , ultrasound , prospective cohort study , cancer , pain score , radiology
Background: Breast Cancer is the most commonly occurring cancer affecting women undergoing modified radical mastectomy, causing acute pain, and in high percentage of patients it progresses to chronic pain syndromes. The Erector Spinae Plane Block (ESPB) and Serratus Anterior Plane Block (SAPB) are options of regional anesthesia that can produce reliable analgesia. In this study we aimed to evaluate the analgesic efficacy of ultrasound guided ESPB and SAPB in patients underwent modified radical mastectomy operation.
Patients and Methods: Patients were randomly classified using computer generated numbers concealed in sealed opaque envelopes into three equal groups; 30 patients were enrolled in each group. Group I: Control Group (C): Patients received intravenous (IV) systemic analgesia only, Group II: ESPB group: Patients received ipsilateral ultrasound guided ESPB using 20 ml bupivacaine 0.25% at the level of the 4th thoracic segment (T4). and Group III: SPB group: Patients received ipsilateral serratus plane block using 30 ml bupivacaine 0.25% at the level of the 5th rib.
Results: In this study, 113 patients were assessed for eligibility, 16 patients did not meet the criteria and 7 patients refused to participate in the study. The remaining 90 patients were randomly allocated into three groups (30 patients in each). All patients (90) were followed-up and analyzed statistically.
Conclusion: Ultrasound-guided SAPB and ESPB provided effective post-operative analgesia in patients undergoing modified radical mastectomy with lower pain scores, less peri operative analgesic consumption and longer duration of analgesia in SAPB.