SPSIP Block in Breast Surgeries for Postoperative Analgesia

Study Overview
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Brief Summary
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The aim of this clinical study is to demonstrate that pain following breast surgeries can be reduced through the application of serratus posterior superior intercostal plane block (SPSIPB). Seven patients scheduled for breast surgery were included in the study. The primary research question it seeks to address is as follows: • Can SPSIPB be applied to reduce pain following breast surgeries? Participants are expected to provide accurate responses to the researcher's questions for the assessment of postoperative pain.

Detailed Description
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Postoperative analgesia techniques for breast surgeries encompass options such as Paravertebral Block, Erector Spinae Plane Block, Serratus Anterior Plane Block, and Pectoral Nerve Blocks. Although the Paravertebral Block is considered the gold standard for postmastectomy pain relief, its limited usage is primarily attributed to complications. SPSIPB's potential in thoracic surgeries has been noted, offering a broad sensory block suitable for MRM and axillary lymph node dissection. In this study, the effectiveness of SPSIP block for post-mastectomy pain has been investigated.

Official Title
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Is Serratus Posterior Superior Intercostal Plane Block Effective in Modified Radical Mastectomy Surgeries?

Conditions
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Postmastectomy Pain

Intervention / Treatment
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* Procedure: serratus posterior superior intercostal plane block


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Female patients who will undergo breast surgery Exclusion Criteria: unstable patients patients with bleeding disorders Patients allergic to local anesthetic drugs Patients who did not agree to participate in the study Patients with infection at the application site
Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Interventional Model Description: case series
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Block<br>This group consists of patients who underwent SPSIP block. | Procedure: serratus posterior superior intercostal plane block<br>* With this newly introduced procedure added to the literature, patients undergoing breast surgeries are expected to experience reduced pain.<br>* Other names: SPSIPB;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| numeric rate scores (NRS) | The pain levels of patients are indicated with a number between 1 and 10. its means: 0=no pain, 10=worst pain. | first 24 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| total tramadol consumption | The total analgesic quantity that patients will consume for pain reduction. | first 24 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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serratus posterior superior intercostal plane block, regional anaesthesia, postmastectomy pain, interfascial plane blocks