Rhomboid Intercostal Block Versus Serratus Anterior Plane Block

Browse trials for

• Pain, Postoperative 5,093

Keywords

• rhomboid intercostal block -serratus anterior plane block - thoracodorsal artery perforator flap

Pain, Postoperative

5,093 studies on the registry are indexed under Pain, Postoperative; 1,140 are open to participants now.

This study's planned enrollment of 84 is above the median of 75 across 4,344 interventional studies indexed under Pain, Postoperative.

Lead sponsor

Zagazig University is the lead sponsor of 447 studies on the registry; 75 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Study arms

• Active comparator
  Group C:

  control group who will be given general anesthesia only

  Procedure: general anesthesia

• Active comparator
  Group R:

  Rhomboid intercostal block then general anesthesia

  Procedure: general anesthesia · Procedure: general anesthesia plus Rhomboid intercostal block

• Active comparator
  group S

  Serratus anterior plane block then general anesthesia

  Procedure: general anesthesia · Procedure: Serratus anterior plane block

Interventions

• Proceduregeneral anesthesia

  general anesthesia

• Proceduregeneral anesthesia plus Rhomboid intercostal block

  the patients will be positioned in lateral decubitus with moving the scapula laterally by abducting the ipsilateral arm across the chest. under complete aseptic situations A high-frequency (6-12 MHz) linear US probe will be put medial to the medial border of the scapula in an oblique sagittal plane with the orientation marker directed cranially.at the T6-7 level, the tissue plain between the rhomboid major and intercostal muscles is identified, and a single injection of 25mL of bupivacaine (0.25%) will be administered via 18-gauge Tuohy advanced in plane from a superomedial to an inferolateral direction, followed by general anesthesia

• ProcedureSerratus anterior plane block

  The patient will be positioned supine with his arm abducts at 90°. the US high frequency (6-12 MHz) linear probe of sonosite M turbo ultrasonography (FUJIFIM sonosite, Inc., Bothell, WA, USA) will be put in sagittal plane at the midaxillary line. identification of the fascial plane between the serratus anterior muscle and external intercostal muscles will be performed between the fourth and fifth ribs in the midaxillary area . At this point the18-gauge Tuohy needle will be advanced in plane with injection of 25mL of 0.25 %, bupivacaine. followed by general anesthesia

Primary outcomes

1. tramadol consumption

   The amount of tramadol consumption

   Time frame: at 24 hours postoperative

Secondary outcomes

1. Time of performance of block

   Time needed to performance the block

   Time frame: time from positioning of ultrasound porbe till the end of block procedure.

2. Time to first dose of rescue analgesia

   the first time that the patients need analgesia when VAS ≥ 3

   Time frame: during the first 24 hours postoperatively

3. Anticipated side effect

   nausea, vomiting, local anesthesia toxicity, needle injury

   Time frame: at 24 hous post operative

4. Post operative patient's satisfaction

   Post operative patient's satisfaction using 3 point scale (1= satisfied ,2=neutral, 3=not satisfied)

   Time frame: at 24 hours post operative

Individual participant data

Plan to share: No