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Comparison of dexmedetomidine and nalbuphine as local anesthetic adjuvants for the analgesic effect and safety of ultrasound-guided thoracic nerve block after radical mastectomy: a prospective randomized double-blind controlled trial

Comparison of dexmedetomidine and nalbuphine as local anesthetic adjuvants for the analgesic effect and safety of ultrasound-guided thoracic nerve block after radical mastectomy: a prospective randomized double-blind controlled trial

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR1800018528
Enrollment
Unknown
Registered
2018-09-22
Start date
2018-09-26
Completion date
Unknown
Last updated
2018-11-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

breast cancer

Interventions

Group PR:patients received 30 ml of 0.25% ropivacaine + 2 ml normal saline to ultrasound-guided PECS II block
Group PD:patients received 30 ml of 0.25% ropivacaine + 1µg/kg dexmedetomidine to ultrasound-guided PECS II block
Group PN:patients received 30 ml of 0.25% ropivacaine + 20mg nalbuphine to ultrasound-guided PECS II block

Sponsors

First Affiliated Hospital of HeNan University
Lead Sponsor

Eligibility

Sex/Gender
Female
Age
35 Years to 65 Years

Inclusion criteria

Inclusion criteria: Aged 40 to 65 years old, unilateral breast surgery, women of American society of anesthesiologists (ASA) physical status I to III, modied radical mastectomy with or without axillary node dissection.

Exclusion criteria

Exclusion criteria: Regional blockade contraindications (infection, local anesthetic allergy, coagulopathy, use of anticoagulant drugs), the history of psychiatric illness and chronic pain, preexisting neuropathy involving the chest site, alcohol or opioids abusers, cardiopulmonary dysfunction, liver or renal impairment, morbid obesity (BMI >40 kg/m2).

Design outcomes

Primary

MeasureTime frame
time to first request for rescue analgesia;pain score at 2, 4, 8, 12 and 24 h after surgery;

Secondary

MeasureTime frame
the consumption of etomidate and remifentanil in the intraoperative room;opioid consumption at 24h after surgery;adverse events from postoperative 24h, such as nausia, vomiting;the effective number of presses (D1) and the actual number of presses (D2) were recorded about the PCIA pump to calculate D1/D2 for 24 hours after surgery;patient satisfaction rates for 24 hours after surgery;

Countries

China

Contacts

Public ContactHong Daoxian

First Affiliated Hospital of He'nan University

935612109@qq.com+86 15203782840

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026