Breast Cancer
Conditions
Brief summary
The purpose of the study is to test the effects of metoprolol on anaesthesia and the need for perioperative analgesics in patients undergoing breast surgery. With 12 months follow-up the incidence of pain and life satisfaction will be evaluated.
Detailed description
The purpose of the study is to test the effects of intraoperative metoprolol on 1) anaesthetic and alagesic use 2) pain during the early postoperative period and 3) the incidence of pain and lide satisfaction up to 12 months after the surgery. Adverse effects will be recorded as safety measures.
Interventions
Intraoperative metoprolol infusion.
Equal of volume compared to metoprolol.
Sponsors
Study design
Eligibility
Inclusion criteria
* Elective breast surgery due to breast cancer * Voluntary * BMI ≥ 18 and ≤ 35 kg/m2 * ASA 1-3 * No regular use of beta-blockers or during the last 72 hours * No contraindications to beta-blockers
Exclusion criteria
* Pregnancy or breast feeding * AV-block, degree II or III * Untreated cardiac insufficiency * Sinus bradycardia, heart rate \< 45 / min or symptoms * Sick sinus syndrome * Cardiogenic shock * Severe peripheral vascular disorder * Systolic blood pressure \< 100 mmHg * Long PQ-time, \> 0,24 seconds * Known hypersensitivity to beta-blockers or the ingredients of the drug
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anaesthesia | Intraoperative | Total consumption of desflurane |
| Postoperative pain | First 4 postoperative hours | Total analgesics consumption |
| Long-term pain | 3 months | The incidence and the level of pain at 3 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety | 1 year | Spielberg State-Trait Anxiety Inventory |
| Safety and tolerability | Perioperative | Number of patients with adverse effects |
| Depression | 1 year | Beck Depression Inventory |
| Distribution to the central nervous system | Perioperative | Cerebro spinal fluid and blood samples |
| Life satisfaction | 1 year | Life satisfaction in a Likerts scale |