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The efficacy of ultrasound-guided interpectoral plane block combined with multiple-injection costotransverse block or single-injection erector spinae plane block compared to systemic analgesia for postoperative pain control in breast cancer surgery: A randomized controlled trial

Phase 3
Recruiting
Conditions
postoperative pain control in breast cancer surgery
Breast cancer , breast cancer surgery,costotransverse block ,pain controlled,costotransverse block,erector spinae plane block
Registration Number
TCTR20230103005
Lead Sponsor
Department of Anesthesiology, Maharaj Nakorn Chiang Mai Hospital, Chiang Mai University, Chiang Mai, Thailand
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Female
Target Recruitment
90
Inclusion Criteria

1. Female patients aged between 20 and 65 years
2. American Society of Anesthesia (ASA) physical status I - II
3. Scheduled for elective unilateral breast cancer surgery
4. Body weight > 40 kg

Exclusion Criteria

1. Patients with known allergies to any of the study drugs (local anesthetics, opioids, acetaminophen, and codigesic)
2. Underlying chronic kidney disease, liver cirrhosis, major cardiac disease, or pre-existing neurological deficits
3. Recent use of opioid drugs.
4. Morbid obesity (body mass index > 40 kg/m2)
5. Coagulopathy
6. Pre-existing infection at the block site
7. Psychological diseases include bipolar or depression
8. Inability to communicate include deafness or no telephone available
9. Bilateral breast surgery

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
postoperative morphine consumption in the first 24 hours 24 hr post-operative measure by mg,intraoperative fentanyl consumption, postoperative pain scores, block performance data, nausea and vomiting, patient satisfaction. post-op 48hr , 2 wk mg/NRS/pain severity index,patient satisfaction, and the incidence of post mastectomy pain. 2 wk NRS,PSI
Secondary Outcome Measures
NameTimeMethod
Total morphine consumption in the first 24 postoperative hours record
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