Authors: Ozguner Y et al.
BMC Anesthesiology 25:358, 2025. | DOI: N/A (article number: 358)
This randomized study compared the analgesic efficacy of the pectoserratus plane block and the combined deep and superficial serratus anterior plane block (CSAPB) in patients undergoing modified radical mastectomy (MRM). Sixty patients were randomized into two groups: Group P (Pectoserratus Plane Block) and Group S (CSAPB), with tramadol consumption as the primary outcome and postoperative pain levels as the secondary outcome.
The CSAPB group showed significantly lower postoperative tramadol consumption [median 60 mg (Q1: 40, Q3: 60)] compared to the pectoserratus group [60 mg (Q1: 60, Q3: 80); p = 0.006]. Higher NRS pain scores were observed in the pectoserratus group at 2 and 4 hours postoperatively, while no differences were noted beyond the 4th hour. The incidence of postoperative nausea was low and comparable between groups, and no block-related complications were observed.
The study concludes that CSAPB offers comparable or potentially superior analgesic efficacy to the pectoserratus plane block in MRM patients. Its ease of application, safety profile, and efficacy make CSAPB a reliable alternative in multimodal pain management strategies for breast surgeries.
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Authors: Ozguner Y et al. 2025.
BMC Anesthesiology 25:358. (DOI not provided)
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