General Anesthesia and Paravertebral Blocks vs. General Anesthesia Only: Influence Inflammation Factors and Clinical Outcomes in Modified Radical Mastectomy
NCT04540055 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 88
Last updated 2021-01-22
Summary
Regional anesthesia and analgesia may maintain immune function, reduce surgical stress, and also reduce volatile anesthetics and opioids requirements. Local anesthetic drugs used in regional anesthesia and analgesia work to have anti-proliferative and cytotoxic effects on cancer cells. Pro-inflammatory cytokines such as IL-1, IL-6, and TNF-alpha increase in levels in peripheral nerves, spinal cord, brain (brain stem, locus sereleus, thalamus, hippocampus, and prefrontal cortex) after peripheral nerves are injured. The anti-inflammatory cytokine IL-10 is decreased in levels after peripheral nerve injury. The balance between pro-inflammatory and anti-inflammatory cytokines affects the severity of pain.
Conditions
- Anesthesia, Local
- Anesthesia
- Inflammatory Response
- Pain, Postoperative
Interventions
- PROCEDURE
-
Paravertebral block
The subjects in this group received general anesthesia and USG-guided paravertebral block
- PROCEDURE
-
General Anesthesia
The subjects in this group underwent MRM under routine general anesthesia without peripheral nerve block supplementation.
Sponsors & Collaborators
-
Udayana University
lead OTHER
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-10-01
- Primary Completion
- 2020-12-30
- Completion
- 2021-01-21
Countries
- Indonesia
Study Locations
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