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
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 13
- 试验地点
- 2
- 主要终点
- Success rate of the regional blocks
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 85 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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.
结局指标
主要结局
Success rate of the regional blocks
时间窗: from the start to the end of the operation
completion of the surgery without need of general anesthesia.
次要结局
- Patients' satisfaction(24-hours postoperative)
- duration of the blocks(24- hours in the postoperative period)
- Any adverse events(24-hours postoperative)
研究者
Mona Raafat Elghamry
Dr. Mona Raafat Elghamry Assistant Professor of anesthesiology
Tanta University