Comparison of the Analgesic Efficacy of Erector Spinae Plane Block in Breast-Conserving Surgery Versus Serratus Anterior Block Combined With Additional Pecto-Intercostal II Block
NCT07368413 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 70
Last updated 2026-04-21
Summary
This prospective randomized study will compare the effects of Erector Spinae Plane Block (ESPB) and Serratus Anterior Plane Block combined with Pectoral Nerve Block Type II (SAPB + PECS II) on intraoperative analgesia and postoperative opioid consumption in patients undergoing breast cancer surgery. Seventy patients (ASA I-III, aged 18-75 years) will be randomized into two groups using the sealed envelope method. Ultrasound-guided blocks will be performed preoperatively by the same anesthesiologist, with Group 1 receiving ESPB and Group 2 receiving a combined SAPB + PECS II technique performed through a single skin puncture (single needle entry site) with sequential injections into the two target fascial planes. All patients will undergo surgery under general anesthesia and receive postoperative analgesia via morphine patient-controlled analgesia. Pain scores and total opioid consumption will be statistically analyzed, with p \< 0.05 considered significant.
Conditions
- Pain Management in Breast Surgery
- Pain After Surgery
- Regional Anaesthesia
Interventions
- PROCEDURE
-
SAPB + PECS II Technique
Investigators will perform both blocks with a single injection.
- PROCEDURE
-
Erector Spinae Plane Block
Investigators will perform the block before the patient receives general anesthesia and investigators will check it with the pinprick test.
Sponsors & Collaborators
-
Kayseri City Hospital
lead OTHER_GOV
Principal Investigators
-
Çiğdem Ünal Kantekin, Associate Professor of Medicin · Kayseri City Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-04-10
- Primary Completion
- 2026-07-01
- Completion
- 2026-07-31
Countries
- Turkey (Türkiye)
Study Locations
More Related Trials
-
IPP-PSP Block vs. SPSIPB in Breast Surgery
NCT07246720 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Serratus Plane Block vs Erector Spinae Plane Block on Postoperative Analgesia in Patients Undergoing Unilateral Breast Surgery
NCT04218149 ·Status: COMPLETED ·Phase: PHASE4
-
Ultrasound-guided Multilevel Erectorspinae Plane Block Versus Thoracic Epidural Analgesia for Prevention of Post Mastectomy Pain Syndrome for Breast Cancer Patients
NCT06884852 ·Status: RECRUITING ·Phase: NA
-
ESP vs Retrolaminar Block: A Randomized Trial
NCT07200960 ·Status: COMPLETED ·Phase: NA
-
A Comparative Study of Erector Spinae Plane Block and Serratus Posterior Superior Intercostal Plane Block on Postoperative Opioid Consumption Following Breast and Axillary Dissection Surgery
NCT06833697 ·Status: COMPLETED ·Phase: NA
-
Pectoral Nerve Block and Serratus Posterior Superior Intercostal Plane Block in Breast Cancer Surgery
NCT07001657 ·Status: COMPLETED ·Phase: NA
-
Comparison of Bi-level Erector Spine Plane Block and Combined Pectoral I-II Block in Breast Surgery
NCT04689581 ·Status: COMPLETED ·Phase: NA
-
Comparison of Erector Spina Plane Block and Thoracic Epidural Block
NCT04702061 ·Status: COMPLETED ·Phase: NA
-
The Effect of Double Injection Erector Spinae Plane Block on Postoperative Pain Following Breast Surgery
NCT03415646 ·Status: COMPLETED ·Phase: NA
-
Comparison of ESP and SPSIP Blocks in Breast Surgery
NCT06611644 ·Status: COMPLETED ·Phase: NA
-
Erector Spinae Block Versus PECS Block Type II for Breast Surgeries
NCT04284124 ·Status: COMPLETED ·Phase: NA
-
Efect of Erector Spina Plane Block on Mastectomy
NCT04824300 ·Status: COMPLETED ·Phase: NA
-
Comparison of Pain Relief Efficacy of Epidural Analgesia and Erector Spinae Plane Block Before Thoracotomy Surgery
NCT06011863 ·Status: RECRUITING
-
The Effect of Ultrasonography-guided Fascial Plane Blocks in Breast Cancer Surgery Patients
NCT06419504 ·Status: COMPLETED
-
Comparing Post-operative Analgesia After (PECS II) Block and (ESPB) in Modified Radical Mastectomy
NCT06714682 ·Status: COMPLETED ·Phase: NA
-
Superficial Serratus Plane Block for Modified Radical Mastectomy and Axillary Lymph Node Disection
NCT03341234 ·Status: COMPLETED ·Phase: NA
-
Rhomboid Intercostal Sub-serratus Plane Blocks and Erector Spinae Plane Block in Mastectomy Surgeries
NCT07390448 ·Status: RECRUITING ·Phase: NA
-
Serratus Plane Block Versus Serratus Plane Block Plus Parasternal Block Combination for Breast Surgery
NCT05911373 ·Status: COMPLETED ·Phase: NA
-
Serratus Posterior Superior Intercostal Plane Block, Versus Erector Spinae Facial Plane Blocks
NCT06989372 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
SPSIPB vs. SAPB in Breast Surgery
NCT06948383 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Different Volumes of Erector Spinae Plane Block for Breast Surgery
NCT05232084 ·Status: COMPLETED ·Phase: NA
-
Rhomboid Intercostal Block With Sub-Serratus Plane Block Versus Erector Spinae Block
NCT07041762 ·Status: RECRUITING ·Phase: NA
-
ESP in Breast Surgery Due to Cancer
NCT04726878 ·Status: COMPLETED ·Phase: PHASE4
-
Erector Spinae Plane Block Versus Serratus Anterior Plane Block
NCT06862752 ·Status: COMPLETED ·Phase: NA
-
Comparison of the Postoperative Analgesic Effectiveness of Erector Spinae Plane Block Versus Its Combination With Superficial Parasternal Intercostal Plane Block Within the ERACS Program
NCT07304635 ·Status: COMPLETED ·Phase: NA