Ultrasound Guided Rhomboid Intercostal Block Versus Serratus Anterior Plane Block for Analgesia After Thoracodorsal Artery Perforator Flap Following Partial Mastectomy
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 84
- 试验地点
- 1
- 主要终点
- tramadol consumption
研究概览
简要总结
evaluate and compare the impact of ultrasound guided rhomboid intercostal block versus serratus anterior plane block for analgesia after thoracodorsal artery perforator flap following partial mastectomy
详细描述
- To assess and compare quality of post- operative analgesia in each group.
- Time of performance of block in both groups.
- To assess and compare post-operative hemodynamics as well as anticipated adverse effects including nausea, vomiting, itching, hemorrhage, bradycardia, hypotension.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 21 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Adult patients aged between 21 to 60 years
- •Undergoing pedicled thoracodorsal artery perforator flap following breast conserving surgery -General anesthesia
- •Informed consents
- •ASA I & II
- •Body mass index 25-30 kg/m2.
排除标准
- •patients on anti-platelet, anticoagulant or B blocker drugs
- •Patients with acute decompensated heart failure, hypertension, heart block, coronary disease, Asthma, bleeding disorders, compromised renal or hepatic function
- •history of allergy to local anesthesia or opioid analgesia,
- •pregnancy.
研究组 & 干预措施
Group C:
control group who will be given general anesthesia only
干预措施: general anesthesia (Procedure)
Group R:
Rhomboid intercostal block then general anesthesia
干预措施: general anesthesia (Procedure)
Group R:
Rhomboid intercostal block then general anesthesia
干预措施: general anesthesia plus Rhomboid intercostal block (Procedure)
group S
Serratus anterior plane block then general anesthesia
干预措施: Serratus anterior plane block (Procedure)
group S
Serratus anterior plane block then general anesthesia
干预措施: general anesthesia (Procedure)
结局指标
主要结局
tramadol consumption
时间窗: at 24 hours postoperative
The amount of tramadol consumption
次要结局
- Time to first dose of rescue analgesia(during the first 24 hours postoperatively)
- Anticipated side effect(at 24 hous post operative)
- Time of performance of block(time from positioning of ultrasound porbe till the end of block procedure.)
- Post operative patient's satisfaction(at 24 hours post operative)
研究者
Heba M Fathi
prof/Dr
Zagazig University