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
- Conditions
- postoperative pain control in breast cancer surgeryBreast 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
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
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
Name Time Method 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
Name Time Method Total morphine consumption in the first 24 postoperative hours record