Ignite Creation Date:
2024-05-06 @ 3:00 PM
Last Modification Date:
2024-10-26 @ 1:41 PM
Study NCT ID:
NCT04498234
Status:
RECRUITING
Last Update Posted:
2023-10-31
First Post:
2020-07-19
Brief Title:
Comparison Between US Guided Erector Spinaeblock and Paravertebral Block on Acute and Chronic Post Mastectomy Pain
Sponsor:
South Egypt Cancer Institute
Organization:
South Egypt Cancer Institute
Study Overview
Official Title:
Comparison Between Ultrasound Guided Erector Spinae Plane Block and Paravertebral Block on Acute and Chronic Postmastectomy Pain
Status:
RECRUITING
Status Verified Date:
2023-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
compare between ultrasound guided erector spinae plane block and ultrasound guided paravertebral block on acute and chronic post mastectomy pain
Detailed Description:
Management of postoperative analgesia following breast surgery extending beyond a simple lumpectomy can sometimes be a challenge especially when such surgery is being performed as a day-case procedure Patients undergoing mastectomy have a very high possibility of developing postsurgical pain syndrome as high as 20 to 50There has been some evidence to suggest regional analgesia techniques reduce the incidence of postsurgical pain in patients undergoing mastectomy This underlines the importance of performing regional anaesthetic and analgesic techniques for postoperative analgesia following breast surgeryThere are many techniques of regional analgesia as thorasic epidural block paravertebral block PECS1 block PECS2 block and recently erector spinae plan blockParavertebral blocks have superseded thoracic epidurals when it comes to choice of a regional anaesthesia technique to provide analgesia for breast surgeryThe injection of local anaesthetic solution in the paravertebral space results in a unilateral block which is sensory motor and sympathetic The uptake of the local anaesthetic solution is enhanced due to the absence of fascial sheaths binding the spinal nervesTPVB produces ipsilateral somatic and sympathetic nerve blockade due to a direct effect of the local anesthetic on the somatic and sympathetic nerves in the TPVS extension into the intercostal space laterally and the epidural space medially Ultrasound-guided erector spinae plane US-ESP block is a novel analgesic technique in which local anaesthetic is injected into fascial plane deep to erector spinae muscle It is possible to block the dorsal and ventral rami of the spinal nerve depending on the level of injection and amount of local anaesthetic injected Erector spinae block ESP leads to effective post-operative analgesia where it is performed at T4-5 level for breast cancer and thoracic surgery when performed bilaterally it has been reported to be as effective as thoracic epidural analgesiaThe drug spreads in craniocaudal fashion over several levels as the erector spinae fascia extends from nuchal fascia cranially to the sacrum caudally Forero et al recently described US-ESP block for thoracic neuropathic pain This block could be effective in both acute post-operative thoracic and abdominal surgeries and also neuropathic pain in these regions
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
False
Is an FDA AA801 Violation?:
None