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Comparison of rhomboid intercostal nerve block, erector spinae plane block, and serratus plane block on analgesia for modified radical mastectomy: A prospective, randomized, controlled trial
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  • wei Deng,
  • Chen-Wei Jiang,
  • Qinghe Zhou,
  • fen liu
wei Deng
First Affiliated Hospital of Nanchang University
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Chen-Wei Jiang
First Hospital of Jiaxing
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Qinghe Zhou
First Hospital of Jiaxing
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fen liu
First Affiliated Hospital of Nanchang University
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Abstract

Background and objectives Breast cancer is one of the most common malignant tumors in women. Herein, we compared the analgesic efficacy of ultrasound-guided rhomboid intercostal nerve block , erector spinae plane block and serratus plane block after modified radical mastectomy of unilateral breast cancer. Methods: A total of 90 patients who underwent modified radical mastectomy for unilateral breast cancer were selected. patients were randomly allocated into three groups receiving ultrasound-guided serratus plane block, erector spinae plane block, and the rhomboid intercostal block group. All groups received 20 mL 0.5% ropivacaine. Within 24 hours after operation, the patient received intravenous injection of tramadol 1-2 mg/kg to relieve pain in the surgical ward. Results: The dosage of tramadol 24-hours postoperatively in the rhomboid intercostal block and erector spinae plane block groups was significantly lower than that in serratus plane block group (P < 0.001). There was no statistical difference in tramadol consumption between the erector spinae plane block and rhomboid intercostal block groups within 24 hours (P = 0.676). The numerical rating scale scores in the erector spinae plane block and rhomboid intercostal block groups at 0.5, 1, 3, 6, 12, 18, and 24 hours postoperatively once patients were active were significantly lower than in the serratus plane block group (P < 0.05 for all comparisons); however, The numerical rating scale scores between rhomboid intercostal block and erector spinae plane block groups did not differ significatively within 24 hours after surgery when patients were active. Conclusions: Ultrasound-guided rhomboid intercostal block and erector spinae plane block can reduce the dosage of tramadol and NRS score compared with serratus plane block after modified radical mastectomy.

Peer review status:UNDER REVIEW

22 Mar 2021Submitted to International Journal of Clinical Practice
22 Mar 2021Submission Checks Completed
22 Mar 2021Assigned to Editor
23 Mar 2021Reviewer(s) Assigned
05 Apr 2021Review(s) Completed, Editorial Evaluation Pending
12 Apr 20211st Revision Received
12 Apr 2021Submission Checks Completed
12 Apr 2021Assigned to Editor
13 Apr 2021Reviewer(s) Assigned
20 Apr 2021Review(s) Completed, Editorial Evaluation Pending
14 May 20212nd Revision Received
19 May 2021Submission Checks Completed
19 May 2021Assigned to Editor
19 May 2021Review(s) Completed, Editorial Evaluation Pending
20 May 2021Reviewer(s) Assigned
04 Jun 2021Editorial Decision: Revise Minor
09 Jun 20213rd Revision Received
10 Jun 2021Assigned to Editor
10 Jun 2021Submission Checks Completed
10 Jun 2021Review(s) Completed, Editorial Evaluation Pending
11 Jun 2021Reviewer(s) Assigned