Cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Female patient aged between 20 and 70 years of American Society of Anesthesiologists physical status (ASA) grades I to III undergoing elective unilateral modified radical mastectomy.
Exclusion criteria
Exclusion criteria: 1. Patient refusal. 2. Neuromuscular diseases (as myopathies, myasthenia gravies…) 3. Hematological diseases, bleeding or coagulation abnormality. 4. Psychiatric diseases. 5. Local skin infection and sepsis at site of the block. 6. Known allergy to the study drugs. 7. Body Mass Index >40 Kg/m2.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The time to the first analgesic request in hours (duration of analgesia) was recorded.? | — |
Secondary
| Measure | Time frame |
|---|---|
| while the secondary outcomeThe hemodynamics parameters including Heart rate (HR), Mean arterial pressure (MAP) and Peripheral capillary oxygen saturation (SpO2) were recorded basal, after skin incision, 15 min., 30min., then every 30min. intraoperatively. Then in PACU immediately then at 2, 4, 8, 12, 16 and 24 hours post-operatively in the ward. ? Intraoperative total fentanyl consumption. ? Visual analogue scale score would be recorded at 0, 2, 4, 8, 12, 16 and 24 hours post-operatively at rest and movement (arm abduction). ? Total analgesics required in 24 h postoperatively: Fentanyl, paracetamol. ? Any adverse effects related to the regional anesthetic technique would be also documented such as hypotension and bradycardia, inadvertent spinal injection, neurological manifestations, epidural hematoma, intravascular injection ? Surgeon satisfaction confirming analgesia and procedures by Bajwa S et al (Bajwa S et al.,2014). ? Excellent ? Good ? Fair ? Poor ? patient satisfaction confirming analgesia and procedures by Bajwa S et al (Bajwa S et al.,2014). ? extremely satisfied ? satisfied ? not satisfied | — |
Countries
Egypt
Contacts
DR