Analyzing the Efficacy of Peri-operative Intercostal Nerve Blocks ICNB for Acute Postoperative Pain Control in Reconstructive Breast Surgery and Mammoplasty
Overview
- Phase
- Phase 4
- Intervention
- Bupivacaine Hydrochloride
- Conditions
- Pain, Postoperative
- Sponsor
- Christine M. Kleinert Institute for Hand and Microsurgery
- Enrollment
- 40
- Locations
- 5
- Primary Endpoint
- Post-operative pain
- Last Updated
- 5 years ago
Overview
Brief Summary
The authors will conduct this study to analyze the effectiveness of peri-operative intercostal nerve blocks (ICNBs) in reducing acute postoperative pain after reconstructive breast surgery and mammoplasty and how it affects the length of hospital stay.
Investigators
Eligibility Criteria
Inclusion Criteria
- •American Society of Anesthesiologists Classification (ASA Class) 3 and below.
- •Bilateral or unilateral breast surgery including cancer extirpation, reconstruction (implant and expander), oncoplastic surgery (\<200 gm), breast augmentation and breast reduction, etc.
Exclusion Criteria
- •Patients who refuse local anesthesia.
- •Patients who cannot receive local anesthesia.
- •Below the age of 20 and above the age of
- •Patients requiring reoperation due to complications of mammoplasty or another breast surgery.
- •Poorly controlled diabetics, uncontrolled hypertension, heart disease, arrhythmias, diagnosed with bipolar and generalized anxiety disorders.
Arms & Interventions
Prospective Cases
These cases will be recruited prospectively, and receive the intercostal nerve block(s) on operated site(s). Peri-operative injections of 30 ml of 0.25% Bupivacaine each, injected over the 4th, 5th, and 6th ribs on the operated site(s).
Intervention: Bupivacaine Hydrochloride
Outcomes
Primary Outcomes
Post-operative pain
Time Frame: 120 minutes post-operation
Visual Analog Score (VAS) for pain compared between cases and controls, pain score on scale from 0 (no pain) to 10 (worst pain)
Secondary Outcomes
- Length of Hospital Stay(Through study completion, average of 1 day)