A Retrospective Evaluation of Systemic Analgesia, Rhomboid Intercostal Block, and Combined Rhomboid Intercostal Block With Deep Parasternal Intercostal Plane Block After Mastectomy
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 66
- 试验地点
- 1
- 主要终点
- Postoperative Pain Score (VAS)
研究概览
简要总结
This retrospective observational study evaluates postoperative pain outcomes in patients undergoing elective mastectomy who received systemic analgesia, rhomboid intercostal block (RIB), or combined rhomboid intercostal block with deep parasternal intercostal plane block (RIB + DPIPB). Medical records from October 2024 to October 2025 will be reviewed. Primary outcomes include pain scores within the first 24 hours, with secondary outcomes including opioid consumption, additional analgesic requirements, patient satisfaction, and early postoperative complications. All data will be analyzed retrospectively and anonymously.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Female patients aged 18-70 years
- •Elective mastectomy performed between October 2024 and October 2025
- •ASA physical status I-III
- •Complete postoperative pain and analgesia records for the first 24 hours
- •Clearly documented analgesic technique (systemic analgesia, RIB, or RIB + DPIPB)
排除标准
- •Incomplete or missing medical records
- •Emergency mastectomy or emergency surgery
- •Reoperation within the first 24 hours postoperatively
- •Major intraoperative complications preventing standard analgesia
- •Neurological or psychiatric conditions interfering with pain assessment
研究组 & 干预措施
Systemic Analgesia Group
干预措施: Analgesic Strategy (Other)
Rhomboid Intercostal Block (RIB) Group
干预措施: Analgesic Strategy (Other)
RIB + Deep Parasternal Intercostal Plane Block (DPIPB) Group
干预措施: Analgesic Strategy (Other)
结局指标
主要结局
Postoperative Pain Score (VAS)
时间窗: Within the first 24 hours after surgery (postoperative 1, 6, 12, and 24 hours).
Postoperative pain intensity assessed using the Visual Analog Scale (VAS) based on routinely recorded clinical data.
次要结局
未报告次要终点
研究者
İlke Dolgun
associate professor
Istinye University