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A randomised double-blind placebo-controlled trial of Sub-Pectoral catheter bupivacaine Infusion for post-mastectomy pain

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN71076101
Enrollment
70
Registered
2008-04-03
Start date
2008-01-01
Completion date
Unknown
Last updated
2015-01-13

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

Conditions

Post-mastectomy pain Signs and Symptoms Post-operative pain

Interventions

Local anaesthetic bupivacaine infusion (initial bolus of 20 ml of 0.5% sterile bupivacaine) via a sub-pectoral catheter inserted intra-operatively versus saline control (initial bolus of 20 ml sterile

Sponsors

Royal Cornwall Hospital Trust (UK)
Lead Sponsor

Eligibility

Sex/Gender
Female

Inclusion criteria

Inclusion criteria: Female patients over the age of 18 who are scheduled for elective single side mastectomy with axillary surgery at Royal Cornwall Hospital Trust will be recruited.

Exclusion criteria

Exclusion criteria: 1. Concurrent enrolment in any other study/trial 2. Pregnancy 3. Bilateral surgery 4. Primary reconstructive surgery 5. Known allergy or sensitivity to local anaesthetic agents, morphine, paracetamol or ondansetron 6. Chronic opioid or non-opioid analgesic use 7. Inability to give informed consent 8. Inability to understand or use a patient-controlled analgesia (PCA) device 9. Inability to understand or complete the visual analogue assessment tools

Design outcomes

Primary

MeasureTime frame
Post-operative analgesia as assessed by: 1. Total morphine requirements at 24 and 48 hours 2. Pain scores at rest on first wakening using a Verbal Rating Scale 3. Pain scores at rest and on movement using a Visual Analogue Scale at 24 and 48 hours 4. Time from end of surgery to first analgesia 5. Subsequent oral analgesia (oromorph) requirements

Secondary

MeasureTime frame
1. Pain scores at rest and on movement using a Visual Analogue Scale at 10 days, 6 months and 1 year 2. Shoulder function assessment using Oxford Shoulder Score and Shoulder Goniometry at 24 hours, 48 hours, 10 days and 6 months 3. Incidence and severity of nausea and vomiting 4. Requirement for post-operative anti-emetic 5. Surgical complications, e.g., seroma/infection 6. Patient satisfaction at 10 days 7. Analgesia requirements at 6 months 8. Requirement for re-operation due to complication 9. Duration of post-operative hospital stay

Countries

United Kingdom

Outcome results

None listed

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