Breastcancer, Phyllodes Breast Tumor
Conditions
Keywords
pecs block, breast surgery, ultrasound guidence
Brief summary
The investigators are trying to establish an easy technique for insertion of a catheter for continuous infusion while performing pectoral type 2 (serratus) block, as a post operative pain controlling measure for cases undergoing simple mastectomy, using ultrasound guidence
Detailed description
As the space between the pectoralis minor and the serratus anterior is a fashial plane with a connective tissue occupying. we are trying to demonstrate a simple technique for inserting a catheter within that fashial plane and making sure of the catheter position, to ensure post operative analgesia for cases performing simple mastectomy. Now the Pectoralis type 2 block (PECS type 2) is an established technique as regional block technique for chest wall procedures. We are trying to maximizing the benefit of the block with a catheter insertion to use it for continuous infusion of bupivacaine for controlling post operative pain in cases performing simple mastectomy procedure
Interventions
PROCEDUREPectoralis II block & catheter without Lidocaine dissection
B Braun Catheter Kit Contiplex with a 18 gauge needle will be used. After topicalization of the skin and sterilization using ultrasound guidance to facilitate performing insertion of the canula. Confirming the tip position will be done by ultrasonography while performing pectoralis type 2 block for cases undergoing simple mastectomy procedures
PROCEDUREPectoralis II block & catheter with Lidocaine dissection
B Braun Catheter Kit Contiplex with a 18 gauge needle will be used. After topicalization of the skin and sterilization using ultrasound guidance to facilitate performing insertion of the canula. 10 ml of lidocaine 1% will be injected for plan dissection to facilitate the procedure. Confirming the tip position will be done by ultrasonography while performing pectoralis type 2 block for cases undergoing simple mastectomy procedures
OTHERcatheter insertion
catheter insertion after Lidocaine dissection
Sponsors
Kasr El Aini Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
21 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Female patient scheduled for simple mastectomy * Accepted performing the block
Exclusion criteria
* Patients on anticogulants * Chest wall infection * Patient refusal
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| successful catheter insertion | during time of performing the block | confirming catheter insertion 5 cm beyond the tip of needle in the proper plan using ultrasound |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of attempts | during time of performing the block | Number of attempts needed for successful insertion |
| Duration needed for insertion | during time of performing the block | Duration needed for successful insertion |
Countries
Egypt
Outcome results
None listed