Establishing Technique for PECS2 Catheter Insertion (ETCI)

Kasr El Aini Hospital

Status: Completed

Conditions: Phyllodes Breast Tumor; Breastcancer

Treatments: Other: catheter insertion; Procedure: Pectoralis II block & catheter without Lidocaine dissection; Procedure: Pectoralis II block & catheter with Lidocaine dissection

Study type: Interventional

Funder types: Other

Identifiers

NCT03030677

MMSTD1Pecs2

Details and patient eligibility

About

The investigators are trying to establish an easy technique for insertion of a catheter for continuous infusion while performing pectoral type 2 (serratus) block, as a post operative pain controlling measure for cases undergoing simple mastectomy, using ultrasound guidence

Full description

As the space between the pectoralis minor and the serratus anterior is a fashial plane with a connective tissue occupying. we are trying to demonstrate a simple technique for inserting a catheter within that fashial plane and making sure of the catheter position, to ensure post operative analgesia for cases performing simple mastectomy.

Now the Pectoralis type 2 block (PECS type 2) is an established technique as regional block technique for chest wall procedures.

We are trying to maximizing the benefit of the block with a catheter insertion to use it for continuous infusion of bupivacaine for controlling post operative pain in cases performing simple mastectomy procedure

Enrollment: 80 patients

Sex: Female

Ages: 21 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Female patient scheduled for simple mastectomy
• Accepted performing the block

Exclusion criteria

• Patients on anticogulants
• Chest wall infection
• Patient refusal

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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80 participants in 2 patient groups

Interventional Without Dissectioin

Other group

Description:

confirming insertion of B Braun Catheter Kit Contiplex with 18 Gauge needle using ultrasound without injecting 10 ml of lidocaine 1% as a dissecting solution

Treatment:

Procedure: Pectoralis II block & catheter without Lidocaine dissection

Other: catheter insertion

Interventional With Dissectioin

Other group

Description:

confirming insertion of B Braun Catheter Kit Contiplex with 18 Gauge needle using ultrasound after injecting 10 ml of lidocaine 1% as a dissecting solution

Treatment:

Procedure: Pectoralis II block & catheter with Lidocaine dissection

Other: catheter insertion