A Prospective Randomized Controlled Trial of Ultrasound Guided Versus Standard Paravertebral Blockade in Breast Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Regional Anaesthesia
- Sponsor
- University College Hospital Galway
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Analgesia requirements in 24 hours post op.
- Last Updated
- 10 years ago
Overview
Brief Summary
The aim of this study is to compare conventional and ultrasound guided paravertebral blocks to with respect to efficacy, patient satisfaction and complication rates.
Detailed Description
Adequate pain control is important in breast cancer surgery. In addition to benefits to patients, effective pain management strategies also facilitate day case surgery. Regional anaesthetic techniques, and paravertebral blocks in particular, are valuable in this sphere. The conventional method of administering this block is blind and depends on anatomical landmarks for placement. Performing the block under US guidance provides real time imaging while advancing the needle. This might allow for a more accurate placement and hence a more effective block which would enhance pain relief and minimise complications.
Investigators
Deirdre Nally
Senior Registrar in General Surgery
University College Hospital Galway
Eligibility Criteria
Inclusion Criteria
- •Patients undergoing resectional breast surgery
- •Benign or malignant indications for surgery
Exclusion Criteria
- •Previous spinal surgery
- •Severe coagulopathy
- •Allergies to local anaesthesia
- •Localised infection at site of injection
Outcomes
Primary Outcomes
Analgesia requirements in 24 hours post op.
Time Frame: 24hours
Non opiate and opiate analgesia (morphine equivalent) intake at 24hours post op
Secondary Outcomes
- Pain Scores(1, 2 and 24 hours post operatively and 1 week post operatively)
- Complications(Up to 2 weeks post operatively)
- Patient satisfaction(Up to 2 weeks post operatively)