The effect of ultrasound-guided serratus plane block on the quality of life in patients undergoing modified radical mastectomy and axillary lymph node dissection: a randomized controlled study
 
Yazarlar (8)
Muhammet M. Sulak Atatürk Üniversitesi, Türkiye
Ali Ahiskalioglu Atatürk Üniversitesi, Türkiye
Ahmet M. Yayik Atatürk Üniversitesi, Türkiye
Erdem Karadeniz Atatürk Üniversitesi, Türkiye
Mine Celik Atatürk Üniversitesi, Türkiye
Doç. Dr. Ufuk DEMİR Kastamonu Üniversitesi, Türkiye
Muhammet A. Ari Atatürk Üniversitesi, Türkiye
Haci A. Alici İstanbul Medipol Üniversitesi, Türkiye
Makale Türü Açık Erişim Özgün Makale (ESCI dergilerinde yayınlanan tam makale)
Dergi Adı Anaesthesiology Intensive Therapy
Dergi ISSN 1642-5758 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler Emerging Sources Citation Index
Makale Dili İngilizce Basım Tarihi 01-2022
Cilt / Sayı / Sayfa 54 / 1 / 48–55 DOI 10.5114/ait.2022.114203
Makale Linki http://dx.doi.org/10.5114/ait.2022.114203
UAK Araştırma Alanları
Anesteziyoloji ve Reanimasyon
Özet
BackgroundModified radical mastectomy (MRM) and axillary lymph node dissection (AD) are the most commonly used surgical methods in breast cancer surgery, and they are characterized by moderate to severe pain. This study aimed to investigate the effect of ultrasound-guided serratus plane block (SPB) on postoperative acute and chronic pain in patients undergoing MRM and AD.MethodsAfter ethical approval, 60 patients, aged between 18–65 years, ASA I–III, underwent unilateral MRM, and AD was assigned into 2 groups. The SPB group received ultrasound-guided SPB with 30 mL 0.25% bupivacaine, and the control group received 2 mL saline injection subcutaneously. Postoperative analgesia was performed with intravenous patient-controlled analgesia and dexketoprofen trometamol. Pain scores, opioid consumption, and rescue analgesic requirements were recorded. Chronic pain and quality of life were evaluated with the Numerical Rating Scale (NRS), short form-36 (SF-36), and painDETECT.ResultsCompared with the control group, the visual analogue scale scores were statistically lower in the SPB group during 4 postoperative hours in post-anaesthetic care unit PACU at 1st, 2nd (P< 0.001), and 4th hour (P= 0.014). Fentanyl consumption and rescue analgesics were lower in the SPB group than in the control group (0–4 h, P= 0.001; 4–8 h, 8–12 h, 24 h; total P< 0.001). The incidence of chronic pain was 11%, and there was no statistically significant difference between control and SPB groups in terms of SF-36, NRS, and painDETECT scores measured at the first and sixth months.ConclusionsSPB demonstrated superiority versus …
Anahtar Kelimeler
chronic pain | Modified radical mastectomy | preemptive analgesia | serratus plan block