Trial Outcomes & Findings for Comparison of Preoperative Ultrasound Guided Pectoralis Nerve Block Placement Versus Intra-operative Placement: A Prospective Randomized Trial (NCT NCT03201809)

NCT ID: NCT03201809

Last Updated: 2021-10-15

Results Overview

amount of narcotic used

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

12 participants

Primary outcome timeframe

post operation up to 2 days

Results posted on

2021-10-15

Participant Flow

Participant milestones

Participant milestones
Measure
On-Q Catheter
On-Q catheters placed within the implant pocket; infusion of 0.2% Ropivacaine at 4 mL/h for a total of 400 mL (about 4 days). On-Q: 0.2% Ropivicaine at 4 mL/h via On-Q catheter placed sub-pectoral
Ultrasound Guided Pectoral Nerve Block
Single Shot Pre-operative injections of 10 mL of 0.25% Ropivicaine for the Pecs 1 injection, and 20 mL of 0.25% Ropivacaine for the pecs 2 injection Ultrasound guided pectoral nerve block: Single Shot Pre-operative injections of 10 mL of 0.25% Ropivicaine for the Pecs 1 injection, and 20 mL of 0.25% Ropivacaine for the Pecs 2 injection
Overall Study
STARTED
6
6
Overall Study
COMPLETED
4
6
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
On-Q Catheter
On-Q catheters placed within the implant pocket; infusion of 0.2% Ropivacaine at 4 mL/h for a total of 400 mL (about 4 days). On-Q: 0.2% Ropivicaine at 4 mL/h via On-Q catheter placed sub-pectoral
Ultrasound Guided Pectoral Nerve Block
Single Shot Pre-operative injections of 10 mL of 0.25% Ropivicaine for the Pecs 1 injection, and 20 mL of 0.25% Ropivacaine for the pecs 2 injection Ultrasound guided pectoral nerve block: Single Shot Pre-operative injections of 10 mL of 0.25% Ropivicaine for the Pecs 1 injection, and 20 mL of 0.25% Ropivacaine for the Pecs 2 injection
Overall Study
Lost to Follow-up
2
0

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
On-Q Catheter
n=6 Participants
On-Q catheters placed within the implant pocket; infusion of 0.2% Ropivacaine at 4 mL/h for a total of 400 mL (about 4 days). On-Q: 0.2% Ropivicaine at 4 mL/h via On-Q catheter placed sub-pectoral
Ultrasound Guided Pectoral Nerve Block
n=6 Participants
Single Shot Pre-operative injections of 10 mL of 0.25% Ropivicaine for the Pecs 1 injection, and 20 mL of 0.25% Ropivacaine for the pecs 2 injection Ultrasound guided pectoral nerve block: Single Shot Pre-operative injections of 10 mL of 0.25% Ropivicaine for the Pecs 1 injection, and 20 mL of 0.25% Ropivacaine for the Pecs 2 injection
Total
n=12 Participants
Total of all reporting groups
Age, Continuous
42.8 years
n=6 Participants
50.7 years
n=6 Participants
48.1 years
n=12 Participants
Sex: Female, Male
Female
6 Participants
n=6 Participants
6 Participants
n=6 Participants
12 Participants
n=12 Participants
Sex: Female, Male
Male
0 Participants
n=6 Participants
0 Participants
n=6 Participants
0 Participants
n=12 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
6 participants
n=6 Participants
6 participants
n=6 Participants
12 participants
n=12 Participants

PRIMARY outcome

Timeframe: post operation up to 2 days

amount of narcotic used

Outcome measures

Outcome measures
Measure
On-Q Catheter
n=6 Participants
On-Q catheters placed within the implant pocket; infusion of 0.2% Ropivacaine at 4 mL/h for a total of 400 mL (about 4 days). On-Q: 0.2% Ropivicaine at 4 mL/h via On-Q catheter placed sub-pectoral
Ultrasound Guided Pectoral Nerve Block
n=6 Participants
Single Shot Pre-operative injections of 10 mL of 0.25% Ropivicaine for the Pecs 1 injection, and 20 mL of 0.25% Ropivacaine for the pecs 2 injection Ultrasound guided pectoral nerve block: Single Shot Pre-operative injections of 10 mL of 0.25% Ropivicaine for the Pecs 1 injection, and 20 mL of 0.25% Ropivacaine for the Pecs 2 injection
Post-operative Narcotic Usage
23.95 mg
Standard Deviation 24.32
6.43 mg
Standard Deviation 5.95

SECONDARY outcome

Timeframe: post operation up to 2 days

number and amount of anti-emetic used

Outcome measures

Outcome measures
Measure
On-Q Catheter
n=6 Participants
On-Q catheters placed within the implant pocket; infusion of 0.2% Ropivacaine at 4 mL/h for a total of 400 mL (about 4 days). On-Q: 0.2% Ropivicaine at 4 mL/h via On-Q catheter placed sub-pectoral
Ultrasound Guided Pectoral Nerve Block
n=6 Participants
Single Shot Pre-operative injections of 10 mL of 0.25% Ropivicaine for the Pecs 1 injection, and 20 mL of 0.25% Ropivacaine for the pecs 2 injection Ultrasound guided pectoral nerve block: Single Shot Pre-operative injections of 10 mL of 0.25% Ropivicaine for the Pecs 1 injection, and 20 mL of 0.25% Ropivacaine for the Pecs 2 injection
Post-operative Anti-emetic Usage
3.11 mg
Standard Deviation 3.33
2.00 mg
Standard Deviation 2.31

SECONDARY outcome

Timeframe: post operation up to 2 days

Pain scores overall and by breast: 0 (no pain) - 100 (extreme pain) analog scale.

Outcome measures

Outcome measures
Measure
On-Q Catheter
n=6 Participants
On-Q catheters placed within the implant pocket; infusion of 0.2% Ropivacaine at 4 mL/h for a total of 400 mL (about 4 days). On-Q: 0.2% Ropivicaine at 4 mL/h via On-Q catheter placed sub-pectoral
Ultrasound Guided Pectoral Nerve Block
n=6 Participants
Single Shot Pre-operative injections of 10 mL of 0.25% Ropivicaine for the Pecs 1 injection, and 20 mL of 0.25% Ropivacaine for the pecs 2 injection Ultrasound guided pectoral nerve block: Single Shot Pre-operative injections of 10 mL of 0.25% Ropivicaine for the Pecs 1 injection, and 20 mL of 0.25% Ropivacaine for the Pecs 2 injection
Post-operative Self-reported Pain Scores
Pain Level in Breasts Overall at Rest (Postop 7 days)
20.50 score on a scale
Standard Deviation 19.09
24.33 score on a scale
Standard Deviation 12.66
Post-operative Self-reported Pain Scores
Pain Level in Breasts Overall with Activity (Postop 7 days)
38.00 score on a scale
Standard Deviation 33.94
56.33 score on a scale
Standard Deviation 19.43
Post-operative Self-reported Pain Scores
Pain Level in Left Breast at Rest (Postop 7 days)
36.00 score on a scale
Standard Deviation 36.77
17.00 score on a scale
Standard Deviation 4.36
Post-operative Self-reported Pain Scores
Pain Level in Left Breast with Activity (Postop 7 days)
37.00 score on a scale
Standard Deviation 31.11
31.67 score on a scale
Standard Deviation 15.04
Post-operative Self-reported Pain Scores
Pain Level in Right Breast at Rest (Postop 7 days):
24.50 score on a scale
Standard Deviation 21.92
30.67 score on a scale
Standard Deviation 17.67
Post-operative Self-reported Pain Scores
Pain Level in Right Breast with Activity (Postop 7 days)
32.50 score on a scale
Standard Deviation 26.16
56.00 score on a scale
Standard Deviation 20.30

Adverse Events

On-Q Catheter

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Ultrasound Guided Pectoral Nerve Block

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Granger Wong, Chief and Professor of Plastic Surgery

UC Davis

Phone: (916) 734-7289

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place