Health Condition 1: C509- Malignant neoplasm of breast of unspecified site Health Condition 2: O- Medical and Surgical Health Condition 3: O- Medical and Surgical
Conditions
Interventions
Intervention1: Erector spinae fascial plane block: USG guided Erector spinae fascial plane block will be given using 0.4ml/kg Ropivacaine 0.25% + 1mcg/kg Fentanyl (max 30ml). Patient will be monitored
Sponsors
None
Eligibility
Inclusion criteria
Inclusion criteria: 1 All female non pregnant patients 18-65 years of age with no comorbidities 2 ASA class I-II 3 BMI 4 Having unilateral breast cancer that may or may not involve the axilla
Exclusion criteria
Exclusion criteria: 1 ASA class lll-Vl 2 BMI >35kg/m2 3 Patient refusal 4 Allergy to ropivacaine or fentanyl 5 Patients undergoing breast reconstruction surgery 6 Prior ipsilateral breast surgery, excluding lumpectomy 7 Pre-existing neurological deficit or peripheral neuropathy involving the ipsilateral chest 8 Severe, poorly controlled cardiac and respiratory conditions like arrhythmias, valvular heart diseases, COPD, Interstitial lung disease, poorly controlled asthma 9 Contraindication to regional or general anaesthesia (e.g. bleeding diathesis, coagulopathy, sepsis, infection at the site of potential needle puncture) 10 Pre-existing chronic pain disorder 11 Significant psychiatric disorder that would preclude objective study assessment 11 Pregnancy 12 Unable to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post op pain scores [Time frame: 24 hours post op] Patients level of post op pain will be evaluated using visual analogue scale (VAS). Range between 0- 10.Timepoint: Post op pain scores [Time frame: 24 hours post op] Patients level of post op pain will be evaluated using visual analogue scale (VAS). Range between 0- 10. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1Sensory block onset assessment- pinprick sensation test [Time frame- End of surgical procedure until 24 hours post op] 2 Mean analgesic consumption [Time frame- 24 hours post op] Cumulative I/V Tramadol or PCM 1gm equivalent after surgery 3 Time to first analgesic request [Time frame- 24 hours post op] The time when patient requires first analgesic post op 4 Block related complications [Time frame- End of surgical procedure to 1 month post op] Presence/absence of block related side effects such as bruising, infection, systemic toxicity, persistent numbness Timepoint: 1 Sensory block onset assessment- pinprick sensation test [Time frame- End of surgical procedure until 24 hours post op] 2 Mean analgesic consumption [Time frame- 24 hours post op] 3 Time to first analgesic request [Time frame- 24 hours post op] 4 Block related complications [Time frame- Post op to 1 month] Evaluation to be done @ 24 hours, 7 days and 1 month | — |
Countries
India
Contacts
Public ContactDr Nimisha Verma
Institute of Medical sciences Sir Sundarlal Hospital Banaras Hindu University
Outcome results
None listed