Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: paravertebral block through single site catheter insertion under ultrasound guidance: amount of drug needed will be assessed to reach level T1 to T5.
Control Intervention1: paravertebra
Sponsors
swarnika singh
Eligibility
Inclusion criteria
Inclusion criteria: 1.female 2.aged 18 to 80 years 3.American Society of Anesthesiologists (ASA) physical status I to III 4.scheduled for unilateral mastectomy surgery, with or without axillary node dissection 5.able to give informed consent 6.able to cooperate with the study process
Exclusion criteria
Exclusion criteria: 1.Patient refusal 2.allergy to LA and other medications used in the study 3.bilateral mastectomies 4.coexisting hematologic disorder 5.having deranged coagulation parameters 6.preexisting major organ dysfunction such as hepatic and renal failure (glomerular filtration rate 7.significant thoracic kyphoscoliosis; 8.history of previous thoracic surgery 9.Inability to communicate and cooperate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the sensory dermatomal spread measured by a pinprick sensation at the midclavicular line using a standard dermatomal mapping chart 20 minutes after performance of the PVB.Timepoint: 20min | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To compare total volume of LA required in both techniques 2.time to performance of the procedure, 3.the cephalad dermatomal spread 4.the caudal dermatomal spread 5.the incidence of complication (such as pneumothorax) 6.visual analog scale pain scores in PACU at 0, 4,8, 24 hr. 7.time of first rescue analgesic.Timepoint: 0min, 5min, 10min,15min,20min,4 hrs,8hrs, 24hrs | — |
Countries
India
Contacts
Public Contactswati
Indira Gandhi Institute of Medical Sciences
Outcome results
None listed