Anesthesia Clinical Trial
Official title:
Assessment of the Feasibility of Ultrasound Guided Serratus Plane Block Associated With Sedation as Anesthetic Technique in Axillary Dissection
Verified date | August 2021 |
Source | Instituto Nacional de Cancer, Brazil |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
INTRODUCTION: The axillary lymphadenectomy procedure is known to be associated with late postoperative complications, such as chronic pain and changes in shoulder mobility. Recently, several thoracic ultrasound guided interfascial blocks have been described, including serratus plane block. These blocks were associated with reduced postoperative pain scores in breast surgeries but were never evaluated in axillary dissection. The safety and feasibility of performing axillary dissection under local anesthesia and tumescent anesthesia associated with sedation has been demonstrated in case series, although it is not already the standard technique. DISCUSSION: This project aims to investigate the feasibility of the serratus plane block associated with intra-venous sedation in a prospective case series including 15 patients submitted to axillary dissection, by scoring patient and surgeon satisfaction with the technique, pain, quality of life with EORTC QLQ-C30 questionnaire, and quality of recovery with QoR-40 questionnaire in the first 30 postoperative days.
Status | Completed |
Enrollment | 15 |
Est. completion date | March 2, 2021 |
Est. primary completion date | March 2, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Undergo axillary dissection due to metastatic skin or soft tissue cancer; - ASA physical status classification between I and III; - have signed the informed consent. Exclusion Criteria: - weight less than 40 kilograms; - tumor affecting topography to be blocked; - presence of ulcerated lesion in the axilla; - presence of coagulopathy. |
Country | Name | City | State |
---|---|---|---|
Brazil | Hospital do Câncer II - National Cancer Institute of Brazil (INCA - Brazil) | Rio de Janeiro | Rio De Janeiro/RJ |
Lead Sponsor | Collaborator |
---|---|
Instituto Nacional de Cancer, Brazil |
Brazil,
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* Note: There are 18 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Percentage of patients who needed conversion to general anesthesia | Percentage of patients who needed conversion to general anesthesia. A percentage from 0 to 100%, where 0% means that no patient needs technique conversion to general anesthesia and 100% means that all patients need it. | Intraoperative | |
Secondary | The 30-item European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire. | The QLQ-C30 is composed of multi-item scales and single-item measures. These include:
A global health status / QoL scale Five functional scales (Physical functioning, Role functioning, Emotional functioning, Cognitive functioning, Social functioning) Three symptom scales (Fatigue, Nausea and vomiting, Pain) Six single items (Dyspnoea, Insomnia, Appetite loss, Constipation, Diarrhoea, Financial difficulties) Each of the multi-item scales includes a different set of items. All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level. Thus a high score for a functional scale represents a high / healthy level of functioning, a high score for the global health status / QoL represents a high QoL, but a high score for a symptom scale / item represents a high level of symptomatology / problems . The scales are scored as described as described in EORTC QLQ-C30 Scoring Manual. 2001 EORTC, Brussels. |
Preoperative and in Postoperative day 30 | |
Secondary | QoR-40 questionnaire | Quality of Recovery - 40 Item questionnaire
QoR-40 score is a score developed to estimate the quality of recovery after anesthesia. It consists of a 40-item questionnaire with items on a five- point Likert scale (for positive items, 1 'none of the time' to 5 'all of the time'; for negative items the scoring was reversed). It is scored as follows: QoR-40 dimensions Emotional state (9-45) Physical comfort (12-60) Psychological support (7-35) Physical independence (5-25) Pain (7-35) Global QoR-40 (40-200) |
Preoperative, First postoperative day visit and in Postoperative day 30 | |
Secondary | Surgeon satisfaction - 5 points Likert scale | A five points Likert scale will be applied to the main surgeon responsible for the operation.
The surgeon will be asked to fill out a Likert 5 points scale to access his opinion about the quality of anesthesia (extremely satisfied, satisfied, not satisfied or dissatisfied, dissatisfied, extremely dissatisfied). |
Imediate postoperative period | |
Secondary | Patient satisfaction - 5 points Likert scale | A five points Likert scale will be applied to the patient in the first postoperative day visit to access his opinion about the quality of the anesthesia (extremely satisfied, satisfied, neither satisfied nor dissatisfied, dissatisfied, extremely dissatisfied). | First postoperative day visit | |
Secondary | Numeric pain rating scale (0-10) | Eleven point numeric pain rating scale (0 means no pain and 10 means worst possible pain). | Preoperative, postoperative day 1 and 30 | |
Secondary | Analgesic requirement | All the anesthetics and analgesics used in intraoperative and postoperative period will be recorded. Doses will be recorded in database. | Intraoperative and postoperative day one (cumulative dose) | |
Secondary | Number of lymph nodes extracted | Number of lymph nodes extracted according to anatomopathological report. | Postoperative day 30 (according to anatomopathological report) |
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