Breast Cancer
Conditions
Keywords
PECS II block, parasternal block, analgesia
Brief summary
The combination of PECS II and parasternal Block provides analgesia after radical mastectomy
Detailed description
The cambionation of PECS II block and parasternal block
Interventions
10 ml of Levobupivacaine 0.375% injected between minor and major pectoralis muscles. 20 ml of Levobupivacaine 0.375% injected between minor and serratus muscles. 10 ml of Levobupivacaine 0.375% injected between major and intercostal muscles at II and IV intercostal space.
Levobupivacaine
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA status patients:1,2 and 3 * patients undergoing to radical mastectomy with axillary dissection and breast-implant reconstruction
Exclusion criteria
* patients with allergy to local anesthetics * ASA status patients: 4 * breast anatomy abnormalities * neurological diseases * septic conditions * coagulopathies * drug abuse history
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain: Numeric Rate Scale | 24 hours after surgery | Postoperative pain evaluated with Numeric Rate Scale, from 0 (no pain) to 10 (worst pain) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative opiates | From start to the end of surgery | Number of patients needing of equianalgesic mg of intraoperative morphine |
| Postoperative opiates | 24 hours after surgery | Number of patients needing of equianalgesic mg of postoperative morphine |
| Side effects | 24 hours after surgery | Number of patients with postoperative nausea and vomiting |
Countries
Italy