Continuous Pectoral Nerve Block in Breast Cancer Surgery

Antalya Training and Research Hospital

Status: Completed

Conditions: Postoperative Pain; Nerve Blocks; Breast Surgery

Treatments: Procedure: PECS group; Other: Control group

Study type: Interventional

Funder types: Other

Identifiers

NCT04036370

13/21

Details and patient eligibility

About

The purpose of the study is to evaluate the effect of continuous pectoral nerve block on postoperative analgesia consumption in breast cancer surgery.

Full description

Pectoral nerve block has been developed as an alternative to thoracic paravertebral and/or thoracic epidural blocks in recent years. It is frequently applied for postoperative analgesia in breast cancer surgery.

Enrollment: 48 patients

Sex: Female

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiology (ASA) I-II
• 18-65 years
• Body mass index (BMI) ≤40 kg/m2
• Elective breast cancer surgery

Exclusion criteria

• ASA ≥4
• under 18 years of age or over 65 years of age
• declining to give written informed consent
• history of allergy to the local anesthetics
• contraendications of peripheral block or local anesthetic infiltration (local infection, coagulopathy, etc)
• history of breast surgery
• treatment due to psychiatric disorder
• history of treatment for chronic pain
• history of nerve blocks in order to treat postoperative pain

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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48 participants in 2 patient groups

PECS group

Active Comparator group

Description:

In addition to routine analgesic protocol; before anaesthesia induction; following the PECS I + II block, a continuous infusion catheter will be placed at the PECS II block level under the guidance of USG, and local anesthetic infusion will be started via the catheter at the end of the operation.

Treatment:

Procedure: PECS group

Control group

Sham Comparator group

Description:

Peroperative and postoperative routine analgesic protocol will be performed with no additional intervention (block).

Treatment:

Other: Control group