Establishing Technique for PECS2 Catheter Insertion

Not Applicable

Completed

• Conditions: Phyllodes Breast Tumor; Breastcancer
• Interventions: Procedure: Pectoralis II block & catheter with Lidocaine dissection; Procedure: Pectoralis II block & catheter without Lidocaine dissection; Other: catheter insertion

• Registration Number: NCT03030677
• Lead Sponsor: Kasr El Aini Hospital

Brief Summary

The investigators are trying to establish an easy technique for insertion of a catheter for continuous infusion while performing pectoral type 2 (serratus) block, as a post operative pain controlling measure for cases undergoing simple mastectomy, using ultrasound guidence

Detailed Description

As the space between the pectoralis minor and the serratus anterior is a fashial plane with a connective tissue occupying. we are trying to demonstrate a simple technique for inserting a catheter within that fashial plane and making sure of the catheter position, to ensure post operative analgesia for cases performing simple mastectomy.

Now the Pectoralis type 2 block (PECS type 2) is an established technique as regional block technique for chest wall procedures.

We are trying to maximizing the benefit of the block with a catheter insertion to use it for continuous infusion of bupivacaine for controlling post operative pain in cases performing simple mastectomy procedure

Study Timeline

• Study First Submitted: 2017-01-05
• Study First Submitted QC: 2017-01-24
• Study First Posted: 2017-01-25
• Study Start: 2018-11-01
• Primary Completion: 2019-08-31
• Study Completion: 2019-11-30
• Status Verified: 2020-09
• Last Update Submitted: 2020-09-07
• Last Update Posted: 2020-09-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 80

Inclusion Criteria

• Female patient scheduled for simple mastectomy
• Accepted performing the block

Exclusion Criteria

• Patients on anticogulants
• Chest wall infection
• Patient refusal

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Interventional Without Dissectioin	catheter insertion	confirming insertion of B Braun Catheter Kit Contiplex with 18 Gauge needle using ultrasound without injecting 10 ml of lidocaine 1% as a dissecting solution
Interventional With Dissectioin	Pectoralis II block & catheter with Lidocaine dissection	confirming insertion of B Braun Catheter Kit Contiplex with 18 Gauge needle using ultrasound after injecting 10 ml of lidocaine 1% as a dissecting solution
Interventional Without Dissectioin	Pectoralis II block & catheter without Lidocaine dissection	confirming insertion of B Braun Catheter Kit Contiplex with 18 Gauge needle using ultrasound without injecting 10 ml of lidocaine 1% as a dissecting solution
Interventional With Dissectioin	catheter insertion	confirming insertion of B Braun Catheter Kit Contiplex with 18 Gauge needle using ultrasound after injecting 10 ml of lidocaine 1% as a dissecting solution

Primary Outcome Measures

Name	Time	Method
successful catheter insertion	during time of performing the block	confirming catheter insertion 5 cm beyond the tip of needle in the proper plan using ultrasound

Secondary Outcome Measures

Name	Time	Method
Duration needed for insertion	during time of performing the block	Duration needed for successful insertion
Number of attempts	during time of performing the block	Number of attempts needed for successful insertion

Trial Locations

Locations (1)

Kasr Alaini Hospitals; 🇪🇬 Cairo, Egypt