Feasibility of Serratus Plane Block Associated With Sedation in Axillary Dissection
NCT03740815 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 15
Last updated 2022-04-08
Summary
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.
Conditions
- Anesthesia
- Regional Anesthesia Morbidity
- Axillary Metastases
- Nerve Block
- Analgesia
- Skin Cancer
Interventions
- PROCEDURE
-
Serratus plane block
Ultrasound guided injection of local anesthetic between latissimus dorsi and serratus muscles at mid axillary line.
- PROCEDURE
-
Axillary dissection
Axillary dissection is a surgical procedure that incises the axilla to identify, examine, or remove lymph nodes.
- PROCEDURE
-
Intravenous sedation
Administration of sedatives thru an intravenous access to achieve relaxion and improve operative conditions.
Sponsors & Collaborators
-
Instituto Nacional de Cancer, Brazil
lead OTHER_GOV
Principal Investigators
-
Daniele Theobald, MD · National Cancer Institute of Brazil (INCA - Brazil)
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-09-25
- Primary Completion
- 2021-03-02
- Completion
- 2021-03-02
Countries
- Brazil
Study Locations
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