Nerve Blocks in Alloplastic Breast Reconstruction
NCT04860843 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2024-01-08
Summary
Pain management is a major concern in oncologic breast surgery and reconstruction. Significant risks for acute and chronic pain after surgery might be reduced through improved pain control pre-operatively. Addition of regional anesthesia to a multimodal peri-operative pain management protocol offers a promising solution for improved recovery. For patients undergoing mastectomy with immediate alloplastic breast reconstruction, this RCT compares TPVB+Pecs local anesthetic block with TPVB local anesthetic block and Pecs placebo normal saline block for their effect on acute pain, chronic pain, opioid consumption, opioid-related side effects, patient-reported quality of recovery after surgery, and length of stay.
Conditions
- Surgery, Plastic
- Mastectomy
- Nerve Block
- Breast Reconstruction
Interventions
- DRUG
-
Thoracic paravertebral block
Participants will receive a thoracic paravertebral with local anesthetic infiltrate (30ml of 0.35% ropivacaine with 1:400K epinephrine).
- DRUG
-
Pecs block
Participants will receive a pecs block with local anesthetic infiltrate (30ml of 0.25% ropivacaine with 1:400K epinephrine).
- DRUG
-
Sham Pecs block
Participants will receive a and a pecs block with saline infiltrate (30ml normal saline; 0.9% NaCl).
Sponsors & Collaborators
-
University of British Columbia
lead OTHER
Principal Investigators
-
Kathryn Isaac, MD MPH FRCSC · University of British Columbia
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 19 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-05-01
- Primary Completion
- 2024-05-31
- Completion
- 2024-08-31
Countries
- Canada
Study Locations
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