Analgesia for mastectomy Surgery
Conditions
Interventions
1. Group one will receive ultrasound guided paravertebral block and a standardised anaesthetic
2. Group two will receive interpleural block and the same standardised anaesthetic
Sponsors
The Newcastle upon Tyne Hospitals NHS Foundation Trust (UK)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Female patients 2. Between the age of 18 and 85 3. Undergoing elective mastectomy at the RVI
Exclusion criteria
Exclusion criteria: 1. Any procedure other than sentinel node biopsy in addition to simple mastectomy. This includes axillary node clearance and reconstructions. 2. BMI>35 3. Musculoskeletal deformity 4. Local infection at paravertebral or interpleural injection site 5. Coagulopathy 6. Respiratory disease which limits functional capacity 7. Neurological disease 8. Allergy or contraindication to local anaesthetics, opiates, paracetamol, parecoxib, volatile or intravenous anaesthetics and neuromuscular blockade. 9. Chronic pain treated by long term opiates 10. Psychiatric disease 11. Pregnancy or breast feeding 12. Patient refusal or incapacity 13. Anticipated difficult intubation which would preclude the use of neuromuscular blockade 14. Day case procedure planned
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VAS pain score measured at six hourly intervals for the first 24 hours following mastectomy | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Nausea and vomiting rate 2. 24-hour morphine consumption | — |
Countries
United Kingdom
Outcome results
None listed