Breast Surgery, Nerve Blocks, Postoperative Pain
Conditions
Keywords
pectoral nerve block (pecs block), breast cancer, postoperative pain, numeric rating scale score (NRS score)
Brief summary
The purpose of the study is to evaluate the effect of continuous pectoral nerve block on postoperative analgesia consumption in breast cancer surgery.
Detailed description
Pectoral nerve block has been developed as an alternative to thoracic paravertebral and/or thoracic epidural blocks in recent years. It is frequently applied for postoperative analgesia in breast cancer surgery.
Interventions
Pecs block performed using ultrasound guidance. Standard pain follow up and monitorization will be performed.
Standard pain follow up and monitorization will be performed.
Sponsors
Study design
Intervention model description
Randomised Controlled
Eligibility
Inclusion criteria
* American Society of Anesthesiology (ASA) I-II * 18-65 years * Body mass index (BMI) ≤40 kg/m2 * Elective breast cancer surgery
Exclusion criteria
* ASA ≥4 * under 18 years of age or over 65 years of age * declining to give written informed consent * history of allergy to the local anesthetics * contraendications of peripheral block or local anesthetic infiltration (local infection, coagulopathy, etc) * history of breast surgery * treatment due to psychiatric disorder * history of treatment for chronic pain * history of nerve blocks in order to treat postoperative pain
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| analgesia consumption | 12 hours | postoperative 12 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| analgesia consumption | during the surgery | intraoperative |
| postoperative Numeric Rating Scale (NRS) score | 0, 1, 3, 6, 9, 12 hours | postoperative pain assessment will be performed using NRS score (NRS 0=no pain, NRS 10= most severe possible). The NRS scores will be recorded at postoperative 0, 1, 3, 6, 9, 12 hours |
Countries
Turkey (Türkiye)