scholarly journals A Prospective Randomised Study to Assess the Analgesic Efficacy of Serratus Anterior Plane (SAP) Block for Modified Radical Mastectomy Under General Anaesthesia

2020 ◽  
Author(s):  
Swati Bhan ◽  
◽  
Seema Mishra ◽  
Nishkarsh Gupta ◽  
Rakesh Garg ◽  
...  
Keyword(s):  
General Anaesthesia ◽  
Radical Mastectomy ◽  
Analgesic Efficacy ◽  
Modified Radical Mastectomy ◽  
Serratus Anterior ◽  
Randomised Study ◽  
Anterior Plane ◽  
Prospective Randomised Study

scholarly journals Prospective Study: The Analgesic Efficacy of Ultrasound-Guided Erector Spinae Plane Block versus Serratus Plane Block in Patients Undergoing Modified Radical Mastectomy

2021 ◽  
pp. 9-18
Author(s):  
Martina Farag Wahba Mekhaeil ◽  
Ayman Abd Elmaksod Yousef ◽  
Hesham Mohammed Marof ◽  
Shaimaa Farouk Abdelkader
Keyword(s):  
Radical Mastectomy ◽  
Analgesic Efficacy ◽  
Erector Spinae ◽  
Control Group ◽  
Modified Radical Mastectomy ◽  
Ultrasound Guided ◽  
Serratus Anterior ◽  
Group Iii ◽  
Erector Spinae Plane Block ◽  
Group I

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.

Blok Serratus Anterior Plane pada Operasi Modified Radical Mastectomy

2021 ◽  
Vol 13 (3) ◽  
pp. 165-173
Author(s):  
Madonna Damayanthie Datu ◽  
Jokevin Prasetyadhi
Keyword(s):  
Rating Scale ◽  
Radical Mastectomy ◽  
Numeric Rating Scale ◽  
Modified Radical Mastectomy ◽  
Serratus Anterior ◽  
Rescue Analgesia ◽  
Anterior Plane ◽  
Numeric Rating

Latar belakang:Nyeri pascaoperasi payudara dapat memperburuk keluaran klinis jika tidak ditangani dengan optimal. Modalitas analgesia yang biasa digunakan untuk nyeri pascaoperasi payudara meliputi pemberian opioid dan anestesi regional. Namun, kedua modalitas ini dapat menimbulkan efek samping atau komplikasi yang signifikan. Blok serratus anterior plane (SAP) merupakan prosedur baru yang relatif lebih mudah dilakukan dan aman bila dibandingkan dengan modalitas lainnya.Kasus: Kami melaporkan 2 pasien yang menjalani prosedur blok SAP pada operasi modified radical mastectomy (MRM). Pasien 2 diberikan rescue analgesia selama masa intraoperatif. Pemberian opioid pascaoperasi tidak melebihi 24 jam pada kedua pasien. Penilaian nyeri menggunakan Numeric Rating Scale (NRS) menunjukkan nyeri pascaoperatif yang minimal. Tidak ada efek samping yang ditemukan selama masa pemantauan 24 jam.Pembahasan: Blok SAP relatif mudah dilakukan, memiliki tingkat keberhasilan yang tinggi, dan komplikasi minimal jika dibandingkan dengan prosedur lain. Blok SAP memberikan efek analgesia pada thoraks bagian lateral yang dapat bertahan hingga 12 jam pascaoperasi. Studi-studi terdahulu telah melaporkan kegunaannya dalam mengurangi kebutuhan opioid intraoperatif dan pascaoperatif, yang sesuai dengan hasil yang ditemukan pada laporan kasus ini.Kesimpulan: Blok SAP dapat menjadi salah satu modalitas yang efektif dan aman dalam mengelola nyeri pasien yang menjalani operasi MRM.

Comparative Study between the Effect of Ultrasound Guided Pectoral Nerve Block (PEC 1) versus Serratus Anterior Plane Block (SAPB) For Postoperative Analgesia in Modified Radical Mastectomy

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mohamed Abd El-Rahman Abd El-Megeed ◽  
Alaa Eid Mohamed Hassan ◽  
Tarek Mohamed Ahmed Ashour ◽  
Ahmed Mounir Ahmed Youssef
Keyword(s):  
Nerve Block ◽  
Postoperative Analgesia ◽  
Radical Mastectomy ◽  
Modified Radical Mastectomy ◽  
Ultrasound Guided ◽  
Serratus Anterior ◽  
Female Population ◽  
Pectoral Nerve ◽  
Group I ◽  
Anterior Plane

Abstract Background Breast cancer has continued to be the most common cancer afflicting women, accounting for 31% of all new cancer cases in the female population. Every year, thousands of patients undergo surgery in the region of the breast and axilla. Surgery is one of the mainstays of treatment, and a procedure called modified radical mastectomy (MRM) is now a standard surgical treatment for earlystage breast cancers. Objectives The aim of this work is to evaluate the Effectiveness of Ultrasound Guided Pectoral nerve block (PEC1) versus Serratus Anterior plane block (SAPB) for postoperative Analgesia in Modified Radical Mastectomy Patients and Methods After obtaining approval from the medical ethical committee in Ain Shams University This study was conducted in the operating theatres of Ain Shams University Hospitals. It included Thirty Female patients undergoing Modified Radical Mastectomy were divided randomly into two groups, each group consisted of 15 patients group I in which patients received PEC 1 and group II in which patients received Serratus Anterior Plane Block (SAPB). Results The two groups were adequately monitored and assessed post-operatively and they were compared regarding analgesic outcome by using the visual analogue scaling system, besides, recording time for first for analgesic need and total consumption of opioid and analgesic in the 1st 24 postoperative hours. Demographic data and post operative hemodynamics were also assessed. Conclusion SAPB was effective in reducing postoperative pain scores for 6 -12 hours and lower total 24-h postoperative opioid and analgesic consumption after Modified Radical Mastectomy under general anesthesia, compared to PEC 1 block.

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