postoperative pain control in breast cancer surgery Breast cancer , breast cancer surgery,costotransverse block ,pain controlled,costotransverse block,erector spinae plane block
Conditions
Interventions
controlled,- Receive a triple injection of ultrasound-guided MICTB at T3-4, T4-5, and T5-6, using 0.15 ml/kg of 0.25% bupivacaine with 1% lidocaine with epinephrine 1:400000 in each level, total LA of
Placebo Comparator No treatment,Experimental Procedure/Surgery,Experimental Procedure/Surgery
Group control ,Group MICTB ,Group ESPB
Sponsors
Department of Anesthesiology, Maharaj Nakorn Chiang Mai Hospital, Chiang Mai University, Chiang Mai, Thailand
Eligibility
Sex/Gender
Female
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Female patients aged between 20 and 65 years 2. American Society of Anesthesia (ASA) physical status I - II 3. Scheduled for elective unilateral breast cancer surgery 4. Body weight > 40 kg
Exclusion criteria
Exclusion criteria: 1. Patients with known allergies to any of the study drugs (local anesthetics, opioids, acetaminophen, and codigesic) 2. Underlying chronic kidney disease, liver cirrhosis, major cardiac disease, or pre-existing neurological deficits 3. Recent use of opioid drugs. 4. Morbid obesity (body mass index > 40 kg/m2) 5. Coagulopathy 6. Pre-existing infection at the block site 7. Psychological diseases include bipolar or depression 8. Inability to communicate include deafness or no telephone available 9. Bilateral breast surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| postoperative morphine consumption in the first 24 hours 24 hr post-operative measure by mg,intraoperative fentanyl consumption, postoperative pain scores, block performance data, nausea and vomiting, patient satisfaction. post-op 48hr , 2 wk mg/NRS/pain severity index,patient satisfaction, and the incidence of post mastectomy pain. 2 wk NRS,PSI | — |
Secondary
| Measure | Time frame |
|---|---|
| Total morphine consumption in the first 24 postoperative hours record,present of postmastectomy pain post-op at 2 wk follow up by phone ,first ambulation time (out of bed tome) post operative follow up and record | — |
Countries
Thailand
Contacts
Public ContactArtid Samerchua
Maharaj Nakorn Chiang Mai Hospital
Outcome results
None listed