Dexmedetomidine in Serratus Plane Block for Mastectomy

• Status: Completed
• Trial end date: 2018-10-08
• Target enrollment: 0
• Participant gender: Female

Summary

The serratus plane block (SPB) described by Blanco et al, 2013 is a progression from the work with the Pecs I and II blocks. The serratus muscle is a superficial and easily identified muscle and considered a true landmark to perform thoracic wall blocks because lateral cutaneous branches of the intercostal nerves pierce it in the mid-axillary line. A local anesthetic (LA) is injected under ultrasound (US) guidance either superficial or deep to serratus anterior muscle providing predictable and relatively long-lasting regional anesthesia, which would be suitable for surgical procedures performed on the chest wall.

The linear US probe of frequency (6-13 MHz) is placed over the mid-clavicular region in a sagittal plane.The ribs are counted inferiorly and laterally until the fifth rib in the midaxillary line is identified.The latissimus dorsi, teres major, and serratus muscles are identified.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Alaa Mazy
• Treatments: Anesthetics; Bupivacaine; Dexmedetomidine; Epinephrine; Epinephryl borate; Racepinephrine

Criteria

Inclusion Criteria:

1. Patients of American Society of Anesthesiologists (ASA) grade I - III.

2. Scheduled for unilateral modified radical mastectomy.

Exclusion Criteria:

1. Patient with the skin infection in the axilla.

2. Allergy to local anesthetics of the amide type.

3. Patient refusal.