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CTRI Number  CTRI/2025/01/079460 [Registered on: 24/01/2025] Trial Registered Prospectively
Last Modified On: 24/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   To Compare Analgesic Efficacy of Serratus Anterior Plane Block and Local Infilteration in Modified Radical Mastectomy Patients  
Scientific Title of Study   To Evaluate the Analgesic Efficacy of Serratus Anterior Plane Block And Local Infilteration of 0.25 percent Bupivacaine in Modified Radical Mastectomy. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Swati Singh 
Designation  Junior Resident  
Affiliation  Gandhi Medical College 
Address  Block 1, Second floor Department of Anaesthesiology Gandhi Medical College, Bhopal Madhya Pradesh
Block 1 , Second floor Department of Anaesthesiology Gandhi Medical College Bhopal, Madhya Pradesh
Bhopal
MADHYA PRADESH
462001
India 
Phone  7999913190  
Fax    
Email  singhswati994@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sonal Awasya 
Designation  Professor  
Affiliation  Gandhi Medical College 
Address  Operation Theatre, Second floor, Department of Anaesthesiology, Gandhi Medical College, Bhopal
Operation Theatre, Second floor, Department of Anaesthesiology, Gandhi Medical College, Bhopal
Bhopal
MADHYA PRADESH
462001
India 
Phone  9200314936  
Fax    
Email  awasya.84@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vandana Pandey 
Designation  Assistant Professor  
Affiliation  Gandhi Medical College 
Address  Operation Theatre, Second floor, Department of Anaesthesiology, Gandhi Medical College, Bhopal
Operation Theatre, Second floor, Department of Anaesthesiology, Gandhi Medical College, Bhopal
Bhopal
MADHYA PRADESH
462001
India 
Phone  7898169898  
Fax    
Email  pandeyvandana92@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology Gandhi medical college Bhopal 462001 
 
Primary Sponsor  
Name  Not Applicable 
Address  Not Applicable 
Type of Sponsor  Other [Not Applicable] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Swati singh  Gandhi medical college bhopal  Second floor, Block 1, Gandhi Medical College, Bhopal Department of Anaesthesiology
Bhopal
MADHYA PRADESH 
7999913190

singhswati994@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: 8||Other Procedures,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Local Infilteration with 0.25 percent Bupivacaine  Local Infilteration with 0.25 percent Bupivacaine is compared with Serratus anterior Plane block in patients undergoing Modified Radical Mastectomy. 
Intervention  Nerve block in patients undergoing Modified Radical Mastectomy  To compare analgesic efficacy of Serratus anterior plane block and local infilteration using 0.25 percent Bupivacaine in patients undergoing modified radical mastectomy. 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  50.00 Year(s)
Gender  Female 
Details  1) Female patients aged 25-50 yrs old.
2) ASA Class I or II scheduled for elective unilateral MRM
3) Patients giving consent and willing to participate in the study 
 
ExclusionCriteria 
Details  1. Patients refusal to participate or not giving consent.
2. Local infection at the injection site, morbid obesity,
psychological problem, contraindication to any
researched medicine,
3. Female patients with history of bleeding diathesis, and persistent narcotic abusers 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
The effect of post-operative analgesia of Serratus anterior plane block in modified radical mastectomy patients using VAS score & NRS scale.  VAS score will be recorded at 0,2,4,8,12,16 and 24 hours. 
 
Secondary Outcome  
Outcome  TimePoints 
To observe intra operative and post operative opioid requirement and additional analgesia requirements.
To observe duration of anaesthesia in both groups
To observe adverse events if any.
 
At 0,2,4,8,12,16,24 hours. 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   04/02/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="4"
Days="1" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
SAP block is one of the newer thoracic regional anesthetic
techniques. This procedure is an alternative to TEB, PVB,
intercostal blocks, and intrapleural blocks that are commonly
used as postoperative analgesia of the thoracic region.
SAP block exerts its analgesic effects on the lateral thoracic
region.[8] This effect is achieved by nerve blockade in the axillary
fossa which includes the intercostobrachial nerve, the cutaneous
intercostal nerve (T3–T9), the thoracic longus nerve, and the
thoracodorsal nerve located in the compartment between the
serratus anterior muscle and latissimus dorsi muscle and between
the posterior and mid-axillary lines.[9]
We intend to
study the analgesic efficacy of SAP Block using 0.25 %
bupivacaine versus conventional method of local infiltertion for
Post operative analgeisa in patients undergoing Modified Radical Mastectomy .
 
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