Sleep Deprivation
Conditions
Keywords
bispectral index, regional cerebral oxygen saturation, Stellate-ganglion block
Brief summary
Stellate-ganglion block have been done safely for more than 60 years. It has proved to provide survivors of breast cancer with relief from hot flushes and sleep dysfunction with few or no side-effects. The aim of the present study is to evaluate postoperative sleep quality of patients undergoing breast cancer surgery with Stellate-ganglion block performed in the operation.
Detailed description
This study is a prospective, randomized, controlled (randomized, parallel group, concealed allocation), double-blinded trial. All patients undergoing breast cancer operation will be randomized 1:1 to the treatment intervention with general anesthesia as an adjunct to Stellate-ganglion block with 0.25% ropivacaine hydrochloride or saline. The objective of the trial is to evaluate the postoperative sleep quality of patients undergoing breast cancer operation with Stellate-ganglion block 0.25% ropivacaine hydrochloride or saline.
Interventions
stellate-ganglion block with 0.25% ropivacaine hydrochloride
stellate-ganglion block with saline
Sponsors
Study design
Eligibility
Inclusion criteria
* At least18 years and pre-menopausal; * scheduled to undergo elective breast cancer operation; * American Society of Anaesthesiologists (ASA) risk classification I-II.
Exclusion criteria
* (1) patient refusal; (2) known hypersensitivity to the study medication (ropivacaine); (3) long-term use of opioids; (4) a history of psychiatric or neurological disease; (5) a preoperative Pittsburgh Sleep Quality Index (PSQI) global score higher than 6.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| sleep quality | first postoperative night | The primary objective is to compare postoperative sleep quality, as measured using a bispectral index-Vista monitor during the first night after surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| regional cerebral oxygen saturation | In the operation | physiological parameter of regional cerebral oxygen saturation of all patients during the operation will be recorded.Regional cerebral oxygen saturation measured by near-infrared spectroscopy in the frontal lobe has been used previously to evaluate overall cerebral blood flow. The normal range of cerebral oxygen saturation is 55-80%. |
Countries
China