Opioid-Free Versus Opioid-Based Anesthesia in Modified Radical Mastectomy
NCT07798895 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 28
Last updated 2026-09-02
Summary
This randomized controlled trial compares opioid-free anesthesia combined with pectoral nerve block (PECS I and II) with opioid-based anesthesia in patients undergoing modified radical mastectomy. The study evaluates postoperative CD4+ T-cell counts as a marker of cellular immune response, as well as postoperative pain intensity and nausea and vomiting. Twenty-eight patients were randomly assigned to receive either opioid-free anesthesia with PECS I and II block or opioid-based anesthesia with fentanyl. CD4+ T-cell counts were assessed before and 24 hours after surgery, while postoperative pain was assessed at 2, 6, 12, and 24 hours after surgery.
Conditions
Interventions
- PROCEDURE
-
Pectoral Nerve Block (PECS I and II)
Ultrasound-guided pectoral nerve blocks (PECS I and II) performed before induction of general anesthesia.
- DRUG
-
Dexmedetomidine
Dexmedetomidine-based opioid-free anesthetic regimen administered according to the study protocol.
- DRUG
-
Fentanyl-based opioid anesthesia administered according to the study protocol.
Sponsors & Collaborators
-
Muhammad Fiqhi Amiruddin
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-05-03
- Primary Completion
- 2026-07-27
- Completion
- 2026-07-30
Countries
- Indonesia
Study Locations
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