Feasibility of Combined Ultrasound Guided Interscalene Brachial Plexus Block and Erector Spinae Plane Block for Anesthesia in Modified Radical Mastectomy With Axillary Lymph Node Dissection: Pilot Study
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Breast Cancer
- Sponsor
- Tanta University
- Enrollment
- 13
- Locations
- 1
- Primary Endpoint
- Success rate of the regional blocks
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
local and regional anesthesia have been introduced with the goal of reducing the side effects associated with general anesthesia and IV opioid analgesia.our hypothesis is that ultrasound-guided interscalene brachial plexus block and erector spinae plane block will provide efficient surgical anesthesia and postoperative analgesia after modified radical mastectomy.
Detailed Description
inadequate analgesia after modified radical mastectomy with axillary lymph node dissection may occur with most of regional anesthesia. pain in the axilla and upper limb is related to ineffective block of medial and lateral pectoral nerves as long thoracic and thoracodorsal nerves, leading to inadequate analgesia.The aim of this study is to evaluate the efficacy and safety of ultrasound-guided interscalene brachial plexus block and erector spinae plane block for providing surgical anesthesia and postoperative analgesia after modified radical mastectomy.
Investigators
Mona Raafat Elghamry
Dr. Mona Raafat Elghamry Assistant Professor of anesthesiology
Tanta University
Eligibility Criteria
Inclusion Criteria
- •Female patients aged 40-85 years old
- •American Society of Anesthesiologists' physical status III and IV
- •Planned for modified radical mastectomy with axillary lymph node dissection
Exclusion Criteria
- •Patient refusal
- •Neurological or psychiatric disorders
- •Local infection at injection site
- •Spine or chest wall deformity
- •Allergy or any contraindication to any of the study drugs
- •Opioid or alcoholic addiction
- •Chronic pain of any cause
- •Uncooperative patients.
Outcomes
Primary Outcomes
Success rate of the regional blocks
Time Frame: from the start to the end of the operation
completion of the surgery without need of general anesthesia.
Secondary Outcomes
- Patients' satisfaction(24-hours postoperative)
- duration of the blocks(24- hours in the postoperative period)
- Any adverse events(24-hours postoperative)