Comparison of Erector Spina Plan Block and Rhombodid Intercostal Block in Breast Surgery

Study Overview
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Brief Summary
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In this study, we compared ultrasound-guided erector spinae plane (ESP) block and rhomboid intercostal block (RIB) on postoperative analgesic effect in unilateral breast surgery.

Detailed Description
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After being informed about the study and potential risks, written consent was obtained from all patients.Patients who meet eligibility requirements will be randomized in a 1:1 ratio to erector spinae plane block and rhomboid intercostal block.

Official Title
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Comparison of Erector Spina Plan Block and Rhombodid Intercostal Block for Postoperative Pain Managment in Patients Undergoing Unilateral Breast Surgery

Conditions
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Postoperative Pain, Analgesia

Intervention / Treatment
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* Other: Erector Spinae Plane Block
* Other: Rhomboid Intercostal Block


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria Patients who will undergo unilateral breast-conserving surgery (BCS) or modified radical mastectomy (MRM) with or without axillary lymph node dissection Patients undergoing elective surgery ASA (American Society of Anesthesiologists) physical status classification I-III Exclusion Criteria: Use of anticoagulants Allergy to the medications to be used Patients who use analgesic drugs due to a history of chronic pain ASA (American Society of Anesthesiologists) physical status classification IV-V Patients with psychiatric disorders Presence of infection in the area where the block will be applied Presence of deformity in the patient's spinal, paraspinal and area where the block will be applied The patient does not accept the block application or cannot cooperate with the patient

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Erector Spinae Plane Block<br>Ultrasound(US)-guided erector spinae plan block(ESP) with 20 ml 0,25% bupivacaine at T4 vertebra level will performe preoperatively to all patients in the ESP group. | Other: Erector Spinae Plane Block<br>* Ultrasound(US)-guided erector spinae plan block(ESP) with 20 ml 0,25% bupivacaine at T4 vertebra level will performe preoperatively to all patients in the ESP group.<br>|
| Experimental: Rhomboid Intercostal Block<br>Ultrasound(US)-guided rhomboid intercostal block(RIB) with 20 ml 0,25% bupivacaine at T5-T6 vertebra level will performe preoperatively to all patients in the RIB group. | Other: Rhomboid Intercostal Block<br>* Ultrasound(US)-guided rhomboid intercostal block(RIB) with 20 ml 0,25% bupivacaine at T5-T6 vertebra level will performe preoperatively to all patients in the RIB group.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Morphin Consumption | Patients in both groups will provide with intravenous patient-controlled analgesia device containing morphine for postoperative analgesia | during postoperative 24 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numerical Rating Scale(NRS) | A numerical rating scale(NRS) requires the patient to rate their pain on defined scale.For example , 0-10 where 0 is no pain and 10 is the worst pain imaginable. | during postoperative 24 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Regional Anesthesia, Erector Spinae Plane Block, Rhomboid Intercostal Block, Breast Surgery