Health Condition 1: C509- Malignant neoplasm of breast of unspecified site
Conditions
Interventions
Intervention1: Ultrasound guided Serrstus Anterior Plane Block: Dose - 20ml of 0.5% Bupivacaine
Frequency - Single shot
Route 0f administration - Infiltration
Control Intervention1: Conventional Thora
Sponsors
NIL
Eligibility
Inclusion criteria
Inclusion criteria: Randomly selected female patients admitted in surgery ward with carcinoma of breast planned for modified radical mastectomy without axillary lymph node dissection belonging to ASA status I or II, aged from 18-60 years willing to give written consent
Exclusion criteria
Exclusion criteria: a)Patient refusal to give consent b)Patients with morbid obesity (body mass index > 40 kg/m2) c)Patients with evidence of peripheral neuropathy, neurological deficit or motor weakness d)Patients with significant cardiac, respiratory, psychiatric, hepatic or renal disorders or any other uncontrolled systemic illness e)Bleeding diatheses or anticoagulation medication intake f)History of pneumothorax g)Pregnant and breast feeding women h)History of allergy to amide local anaesthetics i)Those receiving long term analgesic therapy(daily use > 4 weeks) or a history of opioid dependence j)Infection at the site of block k)History of seizures l)Inability to communicate with the hospital staff
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration 0f post-operative analgesiaTimepoint: Baseline - at extubation, 4th, 6th, 12th, 24th postoperative hours | — |
Secondary
| Measure | Time frame |
|---|---|
| Block Execution TimeTimepoint: Duration in minutes;Diastolic Blood PressureTimepoint: Baseline Just before intubation At 10minutes after induction At 30 Minutes At 60 Minutes At 120 Minutes At extubation At 4th postoperative hour At 6th postoperative hour At 12th postoperative hour At 24th postoperative hour;Heart RateTimepoint: Baseline Just before intubation At 10minutes after induction At 30 Minutes At 60 Minutes At 120 Minutes At extubation At 4th postoperative hour At 6th postoperative hour At 12th postoperative hour At 24th postoperative hour ;Mean Blood PressureTimepoint: Baseline Just before intubation At 10minutes after induction At 30 Minutes At 60 Minutes At 120 Minutes At extubation At 4th postoperative hour At 6th postoperative hour At 12th postoperative hour At 24th postoperative hour ;Morphine ConsumptionTimepoint: At extubation At 4th postoperative hour At 6th postoperative hour At 12th postoperative hour At 24th postoperative hour;Systolic Blood PressureTimepoint: Baseline Just before intubation At 10minutes after induction At 30 Minutes At 60 Minutes At 120 Minutes At extubation At 4th postoperative hour At 6th postoperative hour At 12th postoperative hour At 24th postoperative hour ;VAS scoreTimepoint: At extubation At 4th postoperative hour At 6th postoperative hour At 12th postoperative hour At 24th postoperative hour | — |
Countries
India
Contacts
Public ContactDr Chiranjib Bhattacharyya
Department of Anaesthesiology IPGME&R and SSKM hospital
Outcome results
None listed