The Effects of Perioperative PECS Block During Robotic Breast Surgery and Breast Reconstruction

  • STATUS
    Recruiting
  • End date
    Jun 26, 2022
  • participants needed
    60
  • sponsor
    Yonsei University
Updated on 26 January 2021
breast surgery
mastectomy
breast reconstruction

Summary

Pectoral nerve blocks (PECS blok) are used in postoperative analgesia after breast surgery in nowadays. Many studies shows that pectoral nerve blocks is effective for reducing pain and postoperative opioid consumption undergoing mastectomy. This study was planned to evaluate the efficacy of intraoperative PECS block for postoperative analgesia after robot breast surgery and immediate breast reconstruction.

Description

Sixty patients were randomly allocated into two groups by computerised process, each including 30 patients. PECS group (P) received general anesthesia and pectoral nerve block(PECS block) with 025% ropivacaine after surgical resection of breast by operator. Control group(C) only received general anesthesia.

A Patient -controlled analgesia(PCA) device provides fentanyl for postoperative pain control.

The Primary outcome measures total dose of fentanyl consumption during the postoperative 24 hours, and secondary outcome measures pain scores at rest and movement.

Details
Condition Breast Cancer, breast neoplasm, breast tumors, tumor of the breast, breast tumor
Treatment Pectoral Nerve Block
Clinical Study IdentifierNCT04440995
SponsorYonsei University
Last Modified on26 January 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Is your age greater than or equal to 20 yrs?
Gender: Male or Female
Do you have Breast Cancer?
Do you have any of these conditions: breast tumors or breast tumor or breast neoplasm or Breast Cancer or tumor of the breast?
20years or older
Scheduled for robot-assisted nipple-sparing mastectomy with immediate gel implant or tissue expander breast reconstruction
American Society of Anesthesiologists(ASA) physical status I and III

Exclusion Criteria

Emergency operation
Reoperation
Patients with local anesthetic allergy
Patients with coagulopathy
Patients on anticoagulants
Patients who cannot use patient controlled analgesia(PCA)
Patients with morbid obesity [body mass index (BMI) >35 kg/m2]
Patients with history of uncontrolled hypertension (diastolic BP >110mmHg) or DM
Patients with history of heart failure (unstable angina, congestive heart failure)
Patients with history of liver failure, renal failure, allergic to medicine
Patients with history of cerebrovascular disease (cerebral hemorrhage, cerebral ischemia)
Patients with history of uncontrolled psychiatric disease (PTSD, anxiety, depression)
Patients who cannot read the consent form (examples: Illiterate, foreigner)
Patients who withdraw the consent
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