Nerve Blocks in Alloplastic Breast Reconstruction
Nerve Block | Breast Reconstruction | Surgery, Plastic | MastectomyPain 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.
null
Participation Requirements
-
Sex:
FEMALE -
Eligible Ages:
19 and up
Participation Criteria
Inclusion Criteria:
1. Patients must be female, and at least 19 years old.
2. Patients must be ASA grade I or II.
3. Patients must be undergoing total mastectomy with IBR using tissue expander or implant, with or without axillary surgery.
Exclusion Criteria:
1. Patients have a known contraindication for a regional block: known coagulation disorder, treatment with anticoagulants, infection at the injection site, known allergy to medication in the study.
2. Patients who are pregnant at the time of surgery.
3. Patients having bilateral mastectomy and immediate alloplastic breast reconstruction (as only one side can be blocked to prevent local anesthesia toxicity).
4. Patients with ASA Class III or IV.
5. Patients with BMI\>35kg/m2.
6. Patients weighing less than 50kg.
7. Patients living/staying outside of 1-hour driving distance from hospital.
Study Location
Mount St Joseph Hospital
Mount St Joseph HospitalVancouver, British Columbia
Canada
Contact Study Team
- Study Sponsored By
- University of British Columbia
- Participants Required
- More Information
- Study ID:
NCT04860843