Additional Intraoperative Subpectoral Plane Block vs Conventional Pain Control: A Comparison of Shoulder Movement in Patients with Mastectomy and Axillary Procedure
- Conditions
- Female aged between 20-80 years old, diagnosed breast cancer scheduled for mastectomysubpectoral plane block, mastectomy, shoulder movement, pain score
- Registration Number
- TCTR20230628001
- Lead Sponsor
- aresuan University Hospital
- Brief Summary
In total, 59 participants were included in the analysis. Patients who underwent mastectomy with PECs II block provided better movement of shoulder external rotation and arm abduction from the early post-surgery up to postoperative 6 months, whereas shoulder forward elevation gained superiorly from the early postoperative period, but statistical significance was found after 1 month after surgery. Nevertheless, internal rotation and adduction position of the shoulder was not different between the 2 groups
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Female
- Target Recruitment
- 59
Female aged between 20-80 years old, diagnosed breast cancer scheduled for mastectomy
ischemic heart disease or ejection fraction < 50%, liver disease, history of shoulder pain before mastectomy, allergy to bupivacaine, anesthetic drugs, opioids or paracetamol, or history of NSAID or steroid use.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Ratio of Shoulder movement before surgery, 24-hour, 48-hour, 72 hours after surgery, and follow-up at 1-month, 2-month, 3- month, and 6-month. Goniometer measure ratio of shoulder movement in 5 positions (1. Forward elevation 2. External rotation 3. Arm abduction 4. Internal rotation and 5. Cross-body adduction)
- Secondary Outcome Measures
Name Time Method pain score The pain score was collected until 72 hours postoperatively nummerical pain score