Breast Cancer Clinical Trial
— ANIBPVOfficial title:
Analgesia Nociception Index (ANI) After Unilateral Radical Mastectomy as an Evaluation of Paravertebral Block Failure
NCT number | NCT03832920 |
Other study ID # | 2019-A00121-56 |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | May 2, 2019 |
Est. completion date | March 1, 2023 |
Verified date | June 2023 |
Source | Institut de Cancérologie de Lorraine |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational [Patient Registry] |
Paravertebral Block (PVB) combined with general anesthesia (GA) is a conventional pain treatment for breast surgery but sometimes failures can occurs. The efficacy of this block has to be evaluated. Also, for the intra-operative analgesic evaluation of this block, it is necessary to measure intra-operative analgesia index. A monitor of nociception for patients under GA, the PhysiodolorisTM device, offers an index for measuring nociceptive inputs during surgery in anesthetized patients : the ANI index (based on the single R-R interval analysis). The purpose of this observational and prospective study is to assess the variations of this ANI index during breast surgery with or without axillary node dissection with a PVB. This will allow us to quantify the analgesic effect of a PVB during GA for unilateral radical breast surgery with or without axillary node dissection.
Status | Completed |
Enrollment | 100 |
Est. completion date | March 1, 2023 |
Est. primary completion date | June 26, 2020 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - American Society of Anesthesiologists score (ASA) I or II - Woman - Patients aged over 18 years - BMI between 17 and 30 kg/m2 - Radical mastectomy with or without axillary node dissection. Exclusion Criteria: - Preoperative consumption of opioid - Local Anesthesia allergy - Local skin inflammation at the puncture area - Inability to respond to pain assessment using a Numerical Rating Score (NRS) - Any contra-indication or patient's refusal for regional anesthesia B blocker medication - Pace maker - Inability to perform the PVB (at the appreciation of the anesthesiologist) - Change of surgical procedure other modified radical mastectomy with or without axillary node dissection. - Patient with a severe side effect or who cannot be controlled by additional therapy will be removed from the trial |
Country | Name | City | State |
---|---|---|---|
France | Institut de Cancérologie de Lorraine (ICL) | Vandœuvre-lès-Nancy |
Lead Sponsor | Collaborator |
---|---|
Institut de Cancérologie de Lorraine |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Assessment of the ANI index | Assessment of the area under the curve of the variation of the ANI index for the first minute of the surgical incision according to the PVB failure: incomplete or ineffective vs effective. The PVB failure will be evaluate with a cold test on the thoracic levels T2 and T6. | first minute of the surgical incision | |
Secondary | Post Anesthesia Care Unit total dose of morphine will be compare according to the PVB failure or not groups. | Post Anesthesia Care Unit total dose of morphine will be compare according to the PVB failure or not groups. | Just after surgery (day 0) | |
Secondary | Evaluation of pain | Evaluation of the Numerical Rating Score (NRS) (no pain = 0, worst pain =10): NRS at arrival in the post anesthesia care unit , NRS at leaving of the post anesthesia care unit and at the postoperative day 1. NRS will be compare according to the PVB failure | Just after surgery (day 0) and the day after surgery (day 1) |
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