PECS and Parasternal Block for Breast Surgery

Observational Study to Evaluated Efficacy of Parasternal and PECS Blocks Association in Breast Surgery

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03043755

Acronym

PARAST

Enrollment

Registered

2017-02-06

Start date

2016-07-31

Completion date

2017-02-28

Last updated

2017-02-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Mastectomy, Quadrantectomy

Brief summary

Propose to evaluate efficacy of association between US guide parasternal block and pectorals nerves block (PECS) as anesthetic option for breast surgery (medial quadrantectomy and simple mastectomy). All patients undergoing medial quadrantectomy and simple mastectomy in 6 months period will be observed. All patients receive: US guide parasternal block at T4 and T6 space with 6ml of ropivacaine 0,75% and PECS type 2 block performed with 24ml of ropivacaine 0,75%. During surgery patients receive light sedation with continuous infusion of propofol Will be observed: Additional local anesthetic infiltration from surgeon. Pain at rest and during movement quantified as Numerical Rating Scores (0-10) during the first 12 hours postoperatively. Eventual side effects such as nausea/vomiting.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

FEMALE

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* age\> 18 years; * ASA score I - II - III; * undergoing elective medial quadrantectomy breast surgery; * undergoing elective mastectomy not reconstruction breast surgery; * signed informed consent;

Exclusion criteria

* chronic therapy with opioids/ antidepressants; * urgent/emergent surgery; * postoperative transfer to the intensive care unit; * known allergy to any drug medication; * local skin infection; * epilepsy; * alcohol or drug abuse;

Design outcomes

Primary

Measure	Time frame	Description
Local Anesthetic infiltration	intraoperatory period	Quantify amount of local anesthetic infiltration from surgeon to get perfect anesthesia
Convention in general anesthesia	preoperative period	Number of patients require general anestesia to proceed to surgery

Secondary

Measure	Time frame	Description
Pain	12 hours postoperatively	Rest and in mouvement pain as NRS scale
PONV	12 hours postoperatively	Postoperative nausea/vomiting incidence

Countries

Italy

Outcome results