A Comparative Study Between Ultrasound-guided Thoracic Paravertebral Block, Pectoral Nerves Block, and Erector Spinae Block for Pain Management in Cancer Breast Surgeries. A Randomized Controlled Study
Overview
- Phase
- N/A
- Intervention
- IV morphine
- Conditions
- Pain, Postoperative
- Sponsor
- Menoufia University
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- The primary outcome of the study will be duration of analgesia (time to first rescue analgesia after administration of the block).
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
Aim of the work The aim of the study is to compare between the effects of ultrasound guided thoracic paravertebral block, pectoral nerve block II, and erector spinae block in management of pain during cancer breast surgeries. The hypothesis of the study is that the three groups will give comparative results.
Investigators
kareem Mikhamer
Assistant fellow
Menoufia University
Eligibility Criteria
Inclusion Criteria
- •ASA physical status classification class I or II
- •Age group 18 - 60 years of the female gender
- •Patients undergoing breast cancer surgeries
Exclusion Criteria
- •Patient refusal
- •History of hypersensitivity to local anesthetics
- •Bleeding disorders or patients receiving anticoagulants
- •Spine or chest wall deformities
- •Local infection at the site of injection.
Arms & Interventions
Erector spinae block Group (C)
Will receive erector spinae block
Intervention: IV morphine
Paravertebral block Group (A)
Will receive thoracic paravertebral block
Intervention: Ultrasound guided block
Control Group (D)
Patient will receive opioid only for management of their perioperative pain
Intervention: IV morphine
Paravertebral block Group (A)
Will receive thoracic paravertebral block
Intervention: IV morphine
Pectoral block Group (B)
Will receive pectoral 1 and 2 block
Intervention: Ultrasound guided block
Pectoral block Group (B)
Will receive pectoral 1 and 2 block
Intervention: IV morphine
Erector spinae block Group (C)
Will receive erector spinae block
Intervention: Ultrasound guided block
Outcomes
Primary Outcomes
The primary outcome of the study will be duration of analgesia (time to first rescue analgesia after administration of the block).
Time Frame: 0-24o minutess
minutes
Secondary Outcomes
- Postoperative nausea and vomiting (PONV)(48 hours)
- Postoperative pain(48 hours)
- Total morphine consumption(48 hours)