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Comparison of the pain relieving effect of two approaches to the ultra-sound guided back muscle in patients undergoing breast operation

Not yet recruiting
Conditions
Malignant neoplasm of breast of unspecified site,
Registration Number
CTRI/2023/11/059468
Lead Sponsor
All India Institute of Medical Sciences
Brief Summary

Breast Surgery is associated with significant peri-operative pain and chronic pain. Various pain management modalities have been tried to alleviate the pain, erector spinae plane block is one of them. Recently a cadaveric study has shown two new approaches of erector spinae plane block namely "Erector Spinae Plane Block between Transverseprocesses (BTWN)" and "Erector Spinae Plane Block at medial transverse process(MED)". We wish to compare the efficacy of these two approaches of erector spinae plane block, its analgesic efficacy, its effect on perioperative opioid consumption, patient satisfaction and side effects.

Detailed Description

Not available

Recruitment & Eligibility

Status
Not Yet Recruiting
Sex
Female
Target Recruitment
60
Inclusion Criteria

a) ASA I- II b) Scheduled to undergo elective modified radical mastectomy.

Exclusion Criteria

a) Patient refusal for regional techniques b) All contra-indications to regional techniques: Local or systemic infection Known allergy to the study drugs Bleeding disorders Platelet count <80,000/μL of blood c) BMI > 35 d) Inability to use PCA device post operatively.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Efficacy of analgesic technique determined by 11-point numeric rating scale (NRS) at rest & on abduction of ipsilateral arm above the head.Post-operative period at 0, 0.5, 1, 2, 4, 6, 12 & 24 hours
Secondary Outcome Measures
NameTimeMethod
Intraoperative opioid consumption.Intraoperative period
24-hour fentanyl consumption1st 24 hours of post-operative period
Time to first analgesic requirement in post-operative period.1st 24 hours of Post operative period
Patient satisfaction scorePost-operative period at 0, 0.5, 1, 2, 4, 6, 12 & 24 hours
ï¬Incidence of adverse events (postoperative nausea/ vomiting, respiratory depression, pruritus, urinary retention) retention)1st 24 hours of post-operative period.

Trial Locations

Locations (1)

AIIMS Hospital

🇮🇳

South, DELHI, India

AIIMS Hospital
🇮🇳South, DELHI, India
Kunal Aggarwal
Principal investigator
8168973866
aggarwalkunagupta@gmail.com

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