Stellate Ganglion Block for Prevention of Post Mastectomy Depression (SGB)

Mansoura University

Status

Enrolling

Conditions

Mastectomy

Pain, Acute

Pain, Chronic

Treatments

Procedure: Stellate gangalion block

Study type

Interventional

Funder types

Other

Identifiers

NCT06263907

stellate ganglion block

Details and patient eligibility

About

Complications after mastectomy include chronic pain and depression.

Full description

A mastectomy is surgery could be associated with complications include chronic pain and depression. In female breast cancer patients, the incidence of postoperative depression was 46.55%. Stellate ganglion block had been used for treating post-traumatic stress disorder (PTSD) and depression symptoms even in its prevention. Also, it used in treatment of chronic pain.

Enrollment

140 estimated patients

Sex

Female

Ages

21 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Female patients
Age ranging from 18 to 65 years
American Society of Anesthesiologists (ASA) no more than II
Had unilateral cancer breast
Scheduled to do unilateral modified radical mastectomy

Exclusion criteria

Pregnant female
Existing Horner syndrome
Had any neuromuscular disease
Had allergy to local anesthetics
History of use of analgesics
Had any deformity or a previous surgery in the neck or ipsilateral arm or breast
Had any contraindication to the procedure (coagulation disorders, local infection, sepsis)
Had any contraindication to the sympathetic blockade (decompensate cardiopulmonary or hemodynamic disorders)
History of psychotic disorder including depression, bipolar disorder or personality disorder
Patient with Beck Depression Inventory (BDI) score more than 13