Breast Cancer
Conditions
Keywords
serratus anterior block, ultrasound, breast cancer, postoperative pain
Brief summary
Ultrasound guided serratus anterior plane block may decrease acute postoperative pain and consumption of opioid after mastectomy.
Interventions
After induction of anesthesia, patients take ultrasound guided serratus anterior plane block with 0.5ml/kg of ropivacaine 0.375%. 30minutes before the end of operation, intravenous patient controlled analgesia (Basal rate 0ml/hr, 0.5mcg/kg of fentanyl, lock-out time 10minutes) is connected to patient.
same dose of intravenous patient controlled analgesia (Basal rate 0ml/hr, 0.5mcg/kg of fentanyl, lock-out time 10minutes) is connected to patient only.
Sponsors
Study design
Eligibility
Inclusion criteria
1. ASA 1\ 3 2. Age 20\ 80 3. Breast cancer patient twho are scheduled for elective mastectomy
Exclusion criteria
1. Allergy to local anesthetics or contraindication to use of ropivacaine 2. Pregnancy 3. Severe cardiovascular disease 4. Renal failure 5. Liver failure 6. Neurologic and psychologic disease 7. Chronic treatment with analgesics 8. Previous history of mastectomy or thoracic surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total opioid consumption | within 24 hrs after mastectomy | Assessing total opioid consumption (total number of bolus injection and total dose of fentanyl via intravenous patient controlled analgesia) within 24hours after operation finished. |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative pain scale (Numeric rating scale 0-10) at PACU | chang from 3,6,12,24 to 48hrs after operation end |
| Total intraoperative remifentanil consumption(mcg) | within 24 hrs after mastectomy |
| Additional analgesics requirements (dose/number) | within 24 hrs after mastectomy |
| incidence and intensity of postoperative nausea and vomiting(NRS:0-10) | within 24 hrs after mastectomy |
| Total hospital staying time | within 24 hrs after mastectomy |
Countries
South Korea