Catheter; Pain (Indwelling Catheter)
Conditions
Brief summary
In this study our aim is to investigate the effects of ultrasound (USG) guided pectoral block (PECS) type 1 in the administration of an implanted port-a-cath .
Detailed description
Cancer is one of the most important reasons of mortality in the world. There are a lot of different types of treatments for cancer and so far chemotherapy is the most common one. However, chemotherapy damages the peripheral veins, so implanted subcutaneous port-a-caths are used as an alternative. Traditionally this implantation is adminstered with infiltrative anesthesia. Recently, USG is used in anesthesia practice world wide. Blanco R et all (1) defined PECS 1 block as an alternative to paravertebral block. PECS 1 block aims to anesthetize the medial and lateral pectoral nerves. In this study our aim is to investigate the effects of USG guided PECS 1 block in the administiration of an implanted port-a-cath .
Interventions
PROCEDUREPort-a-cath replacement
Implantation of a subcutaneous venous port-a-cath
Sponsors
Bulent Ecevit University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
The study will be a two-arm parallel assignment. One group will receive PECS 1 block and the other will receive infiltrative anesthesia.
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
* Ages between 18- 75 * ASA (American Society of Anesthesiologists) Score I-IV * Undergoing elective port-a-cath replacemnet
Exclusion criteria
* Patients with neurological deficits * Patients who have major vascular damage at the same side * Mentally retarded patients * Patients with alcohol or drug addiction * Patients who are allergic to local anesthetics * Pregnancy * Paitents with coagulopathy * Patients with skin infection at the side of the procedure * Patients with pneumothorax at the side of the procedure * Patient with a pacemaker
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Perioperative and postoperative analgesic needs of patients | Change in Visual analog Scale (VAS) scores ( between 1 and 10, a higher score represents greater pain intensity. ) at the 1st, 3rd, 6th, 12th and 24th hours after the procedure. | Our primary outcome is to measure and identify the analgesic needs of the patients at the perioperative and postoperative period.In order to measure the analgesic needs Visual Analogue Scale will be used and patients' pain scores will be measured. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hemodynamic parameters at the perioperative and postoperative period | 1st, 3rd, 6th,12th and 24th hours after the procedure. | Our secondary outcome is to measure the hemodynamic parameters such as systolic and diastolic arterial pressure at the perioperative and postoperative period. |
Countries
Turkey (Türkiye)
Outcome results
None listed