Anaesthesia
Conditions
Interventions
supposed to be analgesia
Thoracic epidural analgesia
Combined fascial block
Sponsors
Samaa Rashwan
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: -Age: 20-70 years old Female with breast cancer undergoing breast cancer surgery . -The American Society of -Anesthesiologists (ASA) physical status classification system : I-II( ASA Physical Status Classification 2016)
Exclusion criteria
Exclusion criteria: • Contraindications to regional anesthesia (as coagulopathy,infection at site of performing the blocks, ……). • Allergy to local anesthetics or opioids • The patient who have peripheral artery disease, Nerve disease. • Thoracic vertebra anomaly • Failed cases (failure of the sensory level block). • Morbid obese patients. • Hepatic patient (bleeding disorder).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcomes: 1 - the postoperative analgesic efficacy of the combined fascial plane block and thoracic epidural analgesia as assessed by the visual analogue Scale ( VAS ) at 2 hours Postoperatively. 2 - intraoperative opioid need (fentanyl) as assessed by changes in heart rate & mean arterial blood pressure ( increasing by 20 % of basally recorded numbers)in absence of other causes. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcomes: 1. the first time patient rescue analgesia at the first 24 hours postoperatively. 2. visual analogue scale (VAS) at (2, 6,12, 24 hours post-operatively) . 3. total opioid consumption at the first 24 hours post-operatively. 4. Post-operative nausea and vomiting. | — |
Countries
Egypt
Contacts
Public ContactDoaa ;Arwa Moaaz;Khaled
lecturer of anesthseia;assisstant lecturer of anesthesia
Outcome results
None listed