Blok Serratus Anterior Plane pada Operasi Modified Radical Mastectomy

2021 ◽  
Vol 13 (3) ◽  
pp. 165-173
Author(s):  
Madonna Damayanthie Datu ◽  
Jokevin Prasetyadhi
Keyword(s):  
Rating Scale ◽  
Radical Mastectomy ◽  
Numeric Rating Scale ◽  
Modified Radical Mastectomy ◽  
Serratus Anterior ◽  
Rescue Analgesia ◽  
Anterior Plane ◽  
Numeric Rating

Latar belakang:Nyeri pascaoperasi payudara dapat memperburuk keluaran klinis jika tidak ditangani dengan optimal. Modalitas analgesia yang biasa digunakan untuk nyeri pascaoperasi payudara meliputi pemberian opioid dan anestesi regional. Namun, kedua modalitas ini dapat menimbulkan efek samping atau komplikasi yang signifikan. Blok serratus anterior plane (SAP) merupakan prosedur baru yang relatif lebih mudah dilakukan dan aman bila dibandingkan dengan modalitas lainnya.Kasus: Kami melaporkan 2 pasien yang menjalani prosedur blok SAP pada operasi modified radical mastectomy (MRM). Pasien 2 diberikan rescue analgesia selama masa intraoperatif. Pemberian opioid pascaoperasi tidak melebihi 24 jam pada kedua pasien. Penilaian nyeri menggunakan Numeric Rating Scale (NRS) menunjukkan nyeri pascaoperatif yang minimal. Tidak ada efek samping yang ditemukan selama masa pemantauan 24 jam.Pembahasan: Blok SAP relatif mudah dilakukan, memiliki tingkat keberhasilan yang tinggi, dan komplikasi minimal jika dibandingkan dengan prosedur lain. Blok SAP memberikan efek analgesia pada thoraks bagian lateral yang dapat bertahan hingga 12 jam pascaoperasi. Studi-studi terdahulu telah melaporkan kegunaannya dalam mengurangi kebutuhan opioid intraoperatif dan pascaoperatif, yang sesuai dengan hasil yang ditemukan pada laporan kasus ini.Kesimpulan: Blok SAP dapat menjadi salah satu modalitas yang efektif dan aman dalam mengelola nyeri pasien yang menjalani operasi MRM.

scholarly journals Serratus anterior plane block in modified radical mastectomy surgery: a case series

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Madonna Damayanthie Datu ◽  
Jokevin Prasetyadhi
Keyword(s):  
Side Effects ◽  
Rating Scale ◽  
Case Series ◽  
Radical Mastectomy ◽  
Numeric Rating Scale ◽  
Breast Pain ◽  
Modified Radical Mastectomy ◽  
Serratus Anterior ◽  
Rescue Analgesia ◽  
Anterior Plane

Abstract Background Postoperative breast pain may lead to poorer outcome if left untreated. Common analgesia modalities for postoperative breast pain include opioids and regional anesthesia. However, both of these modalities can cause significant side effects or complications. Serratus anterior plane (SAP) block is a new procedure that is relatively easier to perform and safer, compared with other modalities. Previous studies have reported its usefulness in reducing the need for both intraoperative and postoperative opioids. Case We reported 2 patients that underwent SAP block combined with general anesthesia in modified radical mastectomy (MRM). Patient 2 was given rescue analgesia during the intraoperative period. The administration of postoperative opioids did not exceed 24 h in both patients. Pain assessment using numeric rating scale (NRS) showed minimal postoperative pain. No side effects were found during 24-h monitoring period. Conclusion SAP block can be used as one of the modalities in managing the pain of MRM surgery.

Comparative Study between the Effect of Ultrasound Guided Pectoral Nerve Block (PEC 1) versus Serratus Anterior Plane Block (SAPB) For Postoperative Analgesia in Modified Radical Mastectomy

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mohamed Abd El-Rahman Abd El-Megeed ◽  
Alaa Eid Mohamed Hassan ◽  
Tarek Mohamed Ahmed Ashour ◽  
Ahmed Mounir Ahmed Youssef
Keyword(s):  
Nerve Block ◽  
Postoperative Analgesia ◽  
Radical Mastectomy ◽  
Modified Radical Mastectomy ◽  
Ultrasound Guided ◽  
Serratus Anterior ◽  
Female Population ◽  
Pectoral Nerve ◽  
Group I ◽  
Anterior Plane

Abstract Background Breast cancer has continued to be the most common cancer afflicting women, accounting for 31% of all new cancer cases in the female population. Every year, thousands of patients undergo surgery in the region of the breast and axilla. Surgery is one of the mainstays of treatment, and a procedure called modified radical mastectomy (MRM) is now a standard surgical treatment for earlystage breast cancers. Objectives The aim of this work is to evaluate the Effectiveness of Ultrasound Guided Pectoral nerve block (PEC1) versus Serratus Anterior plane block (SAPB) for postoperative Analgesia in Modified Radical Mastectomy Patients and Methods After obtaining approval from the medical ethical committee in Ain Shams University This study was conducted in the operating theatres of Ain Shams University Hospitals. It included Thirty Female patients undergoing Modified Radical Mastectomy were divided randomly into two groups, each group consisted of 15 patients group I in which patients received PEC 1 and group II in which patients received Serratus Anterior Plane Block (SAPB). Results The two groups were adequately monitored and assessed post-operatively and they were compared regarding analgesic outcome by using the visual analogue scaling system, besides, recording time for first for analgesic need and total consumption of opioid and analgesic in the 1st 24 postoperative hours. Demographic data and post operative hemodynamics were also assessed. Conclusion SAPB was effective in reducing postoperative pain scores for 6 -12 hours and lower total 24-h postoperative opioid and analgesic consumption after Modified Radical Mastectomy under general anesthesia, compared to PEC 1 block.

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