Use of ultrasound guided single shot costotransverse block (intertransverse process) in breast cancer surgery: a prospective, randomized, assessor blinded, controlled clinical trial.
Breast cancer
Nerve Block
Postoperative Pain
Journal
BMC anesthesiology
ISSN: 1471-2253
Titre abrégé: BMC Anesthesiol
Pays: England
ID NLM: 100968535
Informations de publication
Date de publication:
18 04 2022
18 04 2022
Historique:
received:
21
09
2021
accepted:
11
04
2022
entrez:
19
4
2022
pubmed:
20
4
2022
medline:
21
4
2022
Statut:
epublish
Résumé
Ultrasound guided costotransverse block (CTB) is a relatively new "peri-paravertebral" block that has been described recently. It has been previously reported that CTB, administered with a single high-volume injection, provides effective analgesia in breast conserving surgery. In this study we evaluated the effect of CTB when used in breast cancer surgery. Seventy patients due to undergo breast cancer surgery were included in this blinded, prospective, randomized, efficiency study. Patients were randomized into two equal groups (CTB group and control group) using the closed envelope technique. All patients underwent general anesthesia. In addition to standard analgesia methods, patients in group CTB also received CTB block while the remaining (control group) did not. Numeric rating (pain) scores and opioid consumption was compared between the two groups. Opioid consumption in all time frames and pain scores at 1st and 3rd hours only were found to be significantly lower in Group CTB when compared to the control group. Ultrasound guided CTB improves analgesia quality in breast cancer surgery. Clinicaltrials Registration ID: NCT04197206 , Registration Date: 13/12/2019.
Sections du résumé
BACKGROUND
Ultrasound guided costotransverse block (CTB) is a relatively new "peri-paravertebral" block that has been described recently. It has been previously reported that CTB, administered with a single high-volume injection, provides effective analgesia in breast conserving surgery. In this study we evaluated the effect of CTB when used in breast cancer surgery.
METHODS
Seventy patients due to undergo breast cancer surgery were included in this blinded, prospective, randomized, efficiency study. Patients were randomized into two equal groups (CTB group and control group) using the closed envelope technique. All patients underwent general anesthesia. In addition to standard analgesia methods, patients in group CTB also received CTB block while the remaining (control group) did not. Numeric rating (pain) scores and opioid consumption was compared between the two groups.
RESULTS
Opioid consumption in all time frames and pain scores at 1st and 3rd hours only were found to be significantly lower in Group CTB when compared to the control group.
CONCLUSIONS
Ultrasound guided CTB improves analgesia quality in breast cancer surgery.
TRIAL REGISTRATION
Clinicaltrials Registration ID: NCT04197206 , Registration Date: 13/12/2019.
Identifiants
pubmed: 35436844
doi: 10.1186/s12871-022-01651-3
pii: 10.1186/s12871-022-01651-3
pmc: PMC9014597
doi:
Substances chimiques
Analgesics, Opioid
0
Banques de données
ClinicalTrials.gov
['NCT04197206']
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
110Informations de copyright
© 2022. The Author(s).
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