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Comparing pain relief between dexmedetomidine and dexamethasone with ropivacaine after costotransverse block in patients undergoing breast surgeries.

Phase 4
Conditions
Health Condition 1: O- Medical and Surgical
Registration Number
CTRI/2023/04/051463
Lead Sponsor
Department of Anaesthesia and Intensive care
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Closed to Recruitment of Participants
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

American Society of Anesthesiologists (ASA) class I-II

Age more than 18 years at the date of inclusion

Females posted for breast surgery

Who have received thorough information and have signed the informed written consent form

Exclusion Criteria

Patient refusal

ASA III- IV including patient with severe respiratory,cardiovascular, liver and metabolic or pre-existing neurological deficit

Skin infection at puncture site

Allergy to study drugs

Recent history of use of analgesic/steroid drugs

Pregnant patient

History of psychiatric illness and substance abuse.

Morbid obesity BMI >40 kg/m2

Coagulation abnormalities (INR >1.5,thrombocytopenia)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To evaluate the efficacy of dexmedetomidine <br/ ><br>versus dexamethasone as an adjuvant to <br/ ><br>ropivacaine on pain relief after costotransverse <br/ ><br>block by determining the quality of recovery assessed using Quality of Recovery(QoR-15) scale at 24 hour post operatively.Timepoint: At 24 hrs.
Secondary Outcome Measures
NameTimeMethod
To determine the time for first requirement of analgsia. <br/ ><br>Total cumulative dose of rescue analgesic <br/ ><br>(tramadol) consumption in the 24 h after surgery. <br/ ><br>VAS scores at rest and on arm movements. <br/ ><br>Patient satisfaction with block. <br/ ><br>Future willingness to undergo repeat peripheral nerve block. <br/ ><br>Note any side effects.Timepoint: 1hr, 4hr, 8hr, 12hr, 24hr.
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