Health Condition 1: C50- Malignant neoplasm of breast
Conditions
Interventions
Intervention1: After induction and before incision admnistration of Inter transverse process(ITP) block and Thoracic paravertebral (TPV) block: Inter transverse process(ITP) block given in one group o
Sponsors
Dr Piyush Meena
Eligibility
Inclusion criteria
Inclusion criteria: 1.ASA 1 and ASA 2 patients 2.Patient undergoing MRM under General Anaesthesia 3.Patient between 18 to 65 years of age 4.Patient who can understand and provide a valid consent for the procedure and can understand and are willing to report the pain using NRS score
Exclusion criteria
Exclusion criteria: 1.Patients not giving consent 2.Patient with allergies to Local anaesthetics 3.Patient having bleeding disorders 4.Patient on anticoagulant or antiplatelet drus 5.Localised infections 6.Patient in whom the sonoanatomy of the anaesthetiic injection site is clearly not delineable due to any reason 7.Patient with previous history of breast surgery 8.Patient on long term opioid therapy 9.Patient with peripheral neuropathy 10.INR more than 1.5
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessment of the pain using NRS score at 24 hours postoperatively among both groupTimepoint: 24th hr | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To observe the time needed for first rescue analgesia(IV Tramadol) 2.To compare the total number of dose of rescue analgesia required to achieve adequate analgesia 3.To compare intraoperative hemodynamic parameters(Heart rate,Mean arterial pressure,Systolic blood pressure,Diastolic blood pressure) 4.To compare intraoperative intravenous fentanyl consumption 5.To compare time taken to perform the blockTimepoint: intraoperative assessment at baseline parameters and 15,30,45,60,75,90,105,120 minutes intraoperatively and postoperative assessment at 30minute,1,2,6,12,24,48 hrs | — |
Countries
India
Contacts
Public ContactProf Ghanshyam Yadav
Institute of Medical Sciences BHU
Outcome results
None listed