Ultrasound Guided Costotransverse Block for Breast Cancer Surgery

Postoperative Pain Clinical Trial

Official title:

Evaluation of Ultrasound Guided Costotransverse Block in Breast Canser Surgery Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04197206
• Other study ID #: CTB in Breast surgery
• Status: Completed
• Phase: N/A
• Start date: January 6, 2020
• Est. completion date: April 29, 2020

Study information

• Verified date: April 2020
• Source: Cigli Regional Training Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Costotransverse block is a novel regional anesthesia technique described a few months ago. It's use for breast surgery has been reported by only one case report in the literature. As the investigators have considered that Costotransverse block can be efficacious for providing postoperative analgesia in the breast surgeries, the investigators have implemented the application of this blockade into practice at the clinic. The main purpose of this study is to evaluate the analgesic effect of ultrasound-guided unilateral costotransverse block in breast cancer surgery.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 70
• Est. completion date: April 29, 2020
• Est. primary completion date: April 29, 2020
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria:

• patients undergoing breast canser surgery under general anesthesia ASA I-II

Exclusion Criteria:

• patients undergoing breast surgery under paravertebral block and others morbidly obesity ASA III - IV infection of the skin at the site of needle puncture area patients with known allergies to any of the study drugs coagulopathy recent use of analgesic/steroid drugs

Related Conditions & MeSH terms

• Pain, Postoperative
• Postoperative Pain

Intervention

Other:
• costotransverse block
patient controlled analgesia devices with tramadol

Locations

Country	Name	City	State
Turkey	Cigli regional research hospital	Izmir

Sponsors (1)

Lead Sponsor	Collaborator
Cigli Regional Training Hospital

Country where clinical trial is conducted

Turkey, 

References & Publications (2)

Aygun H, Thomas DT, Nart A. Ultrasound guided single injection costotransverse block in a breast conserving surgery patient; The first clinical report for novel interfascial block. J Clin Anesth. 2020 May;61:109647. doi: 10.1016/j.jclinane.2019.109647. Ep — View Citation

Nielsen MV, Moriggl B, Hoermann R, Nielsen TD, Bendtsen TF, Børglum J. Are single-injection erector spinae plane block and multiple-injection costotransverse block equivalent to thoracic paravertebral block? Acta Anaesthesiol Scand. 2019 Oct;63(9):1231-12 — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	24 hours morphine consumption	morphine consumptions for both group will be recorded	24 hours
Secondary	Numeric rating scale for postoperative pain intensity	Changes in Numeric Rating Scale (NRS) at rest and on movement will be recorded at intervals. NRS is a unidimensional measure of pain intensity in adults. The NRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable").	24 hours