Anesthesia, Local
Conditions
Brief summary
The study evaluate the anesthetic efficacy of Pecs II block II and parasternal block during quadrantectomy with or without axillary dissection, in breast cancer surgery
Detailed description
All patients receive Pecs II block and parasternal block, under ultrasound guidance. Pecs II block, performed at the 4th rib level, and parasternal block performed at the level of the 2nd and 4th intercostal space level. Data on the anesthesia, side effects and pain, will be recorded
Interventions
The Pecs II block will be performed under ultrasound guidance, at fourth rib level, on the axillary line, into the fascial plane between pectoralis minor muscle and serratus muscle. The parasternal block will be performed under ultrasound guidance, at the second and fourth intercostal space, between the pectoralis major muscle and the intercostal muscles, near to the external intercostal membrane.
Sponsors
Study design
Eligibility
Inclusion criteria
* patients who need of quadrantectomy with or without axillary dissection * ASA I-III patients * age between 18 and 75 years * filled informed consent
Exclusion criteria
* pregnant women * obesity (BMI \> 39,99) * radical mastectomy * ASA IV patients * chest wall abnormalities * neurological disorders * septic status * chest skin infections * coagulopathies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anesthetic efficacy | The anesthetic efficacy was assessed in the first 72 hours, after block | The anesthetic efficacy is tested by cold and touch test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Painkillers request | The painkillers request was assessed in the first 72 hours, after surgery | mg of morphine |
| Side effects | The side effects recorded in the first 72 hours, after surgery | Nausea, vomiting, local anesthetic systemic toxicity |
Countries
Italy