Comparison of The Effects of Pectoral Nerve Block and Local Infiltration Anesthesia on Postoperative Analgesia for Breast Reduction Surgery
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 53
- Locations
- 1
- Primary Endpoint
- postoperative visual analog scale (VAS) score
Study Overview
Brief Summary
The purpose of the study is to evaluate the efficacy of PECS block applied to patients undergoing bilateral breast reduction surgery on postoperative analgesia compared to local infiltration anesthesia.
Detailed Description
Pectoral nerve block (PECS block) has been developed as an alternative to thoracic paravertebral and/or thoracic epidural blocks in recent years. It is frequently applied for postoperative analgesia especially in breast cancer surgery and subpectoral breast prosthesis.
Study Design
- Study Type
- Observational
- Observational Model
- Case Control
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •American Society of Anesthesiology (ASA) I-II
- •body mass index (BMI) ≤40 kg/m2
- •elective bilateral breast reduction surgery
Exclusion Criteria
- •declining to give written informed consent
- •ASA III and above
- •under 18 years of age or over 65 years of age
- •history of allergy against to the local anesthetics,
- •controendication of peripheral block or local anesthetic infiltration (local infection, coagulopathy, etc.)
- •history of breast surgery
- •treatment due to psychiatric disorder
- •history of treatment for a chronic pain
- •history of nerve blocks in order to treat postoperative pain
Outcomes
Primary Outcomes
postoperative visual analog scale (VAS) score
Time Frame: postoperative 0, 1, 3, 6, 9, and 12 hours
Postoperative pain assessment will be performed using the VAS score (VAS 0 = no pain, VAS 10 = most severe pain possible). The VAS scores will be recorded at postoperative 0, 1, 3, 6, 9, and 12 hours.
Secondary Outcomes
- analgesia consumption(during the surgery)
- length of hospital(4 days)
Investigators
Arzu Karaveli
study director
Antalya Training and Research Hospital