Comparison of ultrasound guided thoracic block by two different approach in breast surgeries

Phase 3

Completed

Conditions: Malignant neoplasm of breast of unspecified site,

Registration Number: CTRI/2020/02/023252

Lead Sponsor: Jyoti mala

Brief Summary: Modified Radical Mastectomy is a common surgical procedure .post mastectomy pain managed by opioids alone often leads to side effects such as nausea and vomiting, drowsiness, pruritis and respiratory depression, etc. Inadequate pain control leads to chronic pain syndrome. For this reason regional anaesthetic technique have been advocated for effective pain relief.USG guided thoracic paravertebral block(TPBV) has been proven to provide perioperative analgesia in breast surgeries.A relatively recent tecnique thoracic erector spinae plane block(TESP).It is increasingly being used due to ease of placing the block and of greater safety,more superficial so less chance of haemothorax.However, till date TPVB has not been compared with TESP block in regaeds to analgesia in MRM.So our study is design to campare USG guided TPVB and TESP for postoperative analgesia in MRM.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 60

Inclusion Criteria

Patients posted for unilateral MRM operation Patients able to comprehend, willing to participate &Willing to give written informed consent in English or Hindi Patients of ASA physical status 1, 2& 3 Patients between 20.
60 years of age of either sex.

Exclusion Criteria

Patientâ€™s refusal to participate Patients of ASA physical status 4 Any allergy to local anaesthetics Coagulation disorders Infection at the site of intervention History of any underlying cardiac, renal or hepatic dysfunction Pregnant patient Age less than 20 or greater than 60 years Chronic opioid use or drug abuse Significant psychiatric disturbance Refusal to provide written consent.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1.Pain score at the interval of 2, 4, 6 12, & 24 hour	6 months
Pain score via Numeric Rating Scale (0-10)	6 months
2.Total opioid consumption for 24 h in postoperative period	6 months

Secondary Outcome Measures

Name	Time	Method
1.Hemodynamic changes	2.Patient satisfaction score

Trial Locations

Locations (1): Indira Gandhi Institute Of Medical Sciences.
🇮🇳
Patna, BIHAR, India
Indira Gandhi Institute Of Medical Sciences.
🇮🇳Patna, BIHAR, India
Dr Swati
Principal investigator
8544413241
deepakswat@yahoo.com