Effects of Ultrasound Guided Pectoral Blok Type 1 on Subcutaneous Port Catheter Replacement : A Randomized Controlled Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Catheter; Pain (Indwelling Catheter)
- Sponsor
- Bulent Ecevit University
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Perioperative and postoperative analgesic needs of patients
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
In this study our aim is to investigate the effects of ultrasound (USG) guided pectoral block (PECS) type 1 in the administration of an implanted port-a-cath .
Detailed Description
Cancer is one of the most important reasons of mortality in the world. There are a lot of different types of treatments for cancer and so far chemotherapy is the most common one. However, chemotherapy damages the peripheral veins, so implanted subcutaneous port-a-caths are used as an alternative. Traditionally this implantation is adminstered with infiltrative anesthesia. Recently, USG is used in anesthesia practice world wide. Blanco R et all (1) defined PECS 1 block as an alternative to paravertebral block. PECS 1 block aims to anesthetize the medial and lateral pectoral nerves. In this study our aim is to investigate the effects of USG guided PECS 1 block in the administiration of an implanted port-a-cath .
Investigators
OZCAN PISKIN, MD
ASSOCIATED PROFFESOR OZCAN PISKIN M.D.
Bulent Ecevit University
Eligibility Criteria
Inclusion Criteria
- •Ages between 18- 75
- •ASA (American Society of Anesthesiologists) Score I-IV
- •Undergoing elective port-a-cath replacemnet
Exclusion Criteria
- •Patients with neurological deficits
- •Patients who have major vascular damage at the same side
- •Mentally retarded patients
- •Patients with alcohol or drug addiction
- •Patients who are allergic to local anesthetics
- •Pregnancy
- •Paitents with coagulopathy
- •Patients with skin infection at the side of the procedure
- •Patients with pneumothorax at the side of the procedure
- •Patient with a pacemaker
Outcomes
Primary Outcomes
Perioperative and postoperative analgesic needs of patients
Time Frame: Change in Visual analog Scale (VAS) scores ( between 1 and 10, a higher score represents greater pain intensity. ) at the 1st, 3rd, 6th, 12th and 24th hours after the procedure.
Our primary outcome is to measure and identify the analgesic needs of the patients at the perioperative and postoperative period.In order to measure the analgesic needs Visual Analogue Scale will be used and patients' pain scores will be measured.
Secondary Outcomes
- Hemodynamic parameters at the perioperative and postoperative period(1st, 3rd, 6th,12th and 24th hours after the procedure.)