Mastectomy, Modified Radical
Conditions
Brief summary
Previous studies have shown that PVB reduces pain and postoperative nausea and vomiting after breast cancer surgery when used in addition to general anesthesia or sedation. However, major breast cancer surgery involves areas beyond the breast tissue, such as pectoral musculature.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* The American Society of Anesthesiologists (ASA) Physical Status classification I to III * 20 - 75 years of age * female gender
Exclusion criteria
* body mass index (BMI) ≥ 35 kg/m2 * modified radical mastectomy not performed by the single surgeon (Ben Long Yu) * anesthesia not performed by the single anesthesiologist (Nai Liang Li)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| intraoperative sedation requirement | during operation | target controlled infusion (TCI) propofol driven by the Schnider model in effect site control titrated to reach conscious sedation defined as Observer Assessment of Alertness/Sedation score of 2 to 3 |
Secondary
| Measure | Time frame |
|---|---|
| time to first request of analgesics | postoperative 12 hours |
| postoperative analgesic requirement | postoperation to discharge |
| side effects | postoperation to within 24 hours after discharge |