Pain, Postoperative
Conditions
Brief summary
Aim of the work The aim of the study is to compare between the effects of ultrasound guided thoracic paravertebral block, pectoral nerve block II, and erector spinae block in management of pain during cancer breast surgeries. The hypothesis of the study is that the three groups will give comparative results.
Interventions
PROCEDUREUltrasound guided block
Giving one regional block
DRUGIV morphine
given when VAS\>3
Sponsors
Menoufia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
1. ASA physical status classification class I or II 2. Age group 18 - 60 years of the female gender 3. Patients undergoing breast cancer surgeries
Exclusion criteria
1. Patient refusal 2. History of hypersensitivity to local anesthetics 3. Bleeding disorders or patients receiving anticoagulants 4. Spine or chest wall deformities 5. Pregnancy 6. Local infection at the site of injection.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The primary outcome of the study will be duration of analgesia (time to first rescue analgesia after administration of the block). | 0-24o minutess | minutes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain | 48 hours | assessed by VAS score (0-10) where 0=no pain and 10=worst pain |
| Total morphine consumption | 48 hours | recorded postoperatively in mg |
| Postoperative nausea and vomiting (PONV) | 48 hours | 4 points score of PONV (0-3) where 0=no PONV and 3=vomiting more than once |
Countries
Egypt
Outcome results
None listed