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Ultrasound Guided Costotransverse Block for Breast Cancer Surgery

NCT ID: NCT04197206

Last Updated: 2020-04-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-06

Study Completion Date

2020-04-29

Brief Summary

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Costotransverse block is a novel regional anesthesia technique described a few months ago. It's use for breast surgery has been reported by only one case report in the literature. As the investigators have considered that Costotransverse block can be efficacious for providing postoperative analgesia in the breast surgeries, the investigators have implemented the application of this blockade into practice at the clinic. The main purpose of this study is to evaluate the analgesic effect of ultrasound-guided unilateral costotransverse block in breast cancer surgery.

Detailed Description

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Conditions

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Postoperative Pain

Keywords

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ultrasound guided block

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Costotransverse block

The Costotransverse block will be administrated to this group before induction of anesthesia. An intravenous patient-controlled analgesia device within morphine will be given to the patients postoperatively.

Group Type EXPERIMENTAL

costotransverse block

Intervention Type OTHER

patient controlled analgesia devices with tramadol

Control Group

In this group, patients will receive only multimodal analgesic treatment including patient-controlled analgesia with morphine. No block will be performed.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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costotransverse block

patient controlled analgesia devices with tramadol

Intervention Type OTHER

Other Intervention Names

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patient controlled analgesia

Eligibility Criteria

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Inclusion Criteria

* patients undergoing breast canser surgery under general anesthesia ASA I-II

Exclusion Criteria

* patients undergoing breast surgery under paravertebral block and others morbidly obesity ASA III - IV infection of the skin at the site of needle puncture area patients with known allergies to any of the study drugs coagulopathy recent use of analgesic/steroid drugs
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Cigli Regional Training Hospital

OTHER

Sponsor Role lead

Responsible Party

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Hakan Aygün

Principal Investigator,

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Cigli regional research hospital

Izmir, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Aygun H, Thomas DT, Nart A. Ultrasound guided single injection costotransverse block in a breast conserving surgery patient; The first clinical report for novel interfascial block. J Clin Anesth. 2020 May;61:109647. doi: 10.1016/j.jclinane.2019.109647. Epub 2019 Oct 26. No abstract available.

Reference Type RESULT
PMID: 31662230 (View on PubMed)

Nielsen MV, Moriggl B, Hoermann R, Nielsen TD, Bendtsen TF, Borglum J. Are single-injection erector spinae plane block and multiple-injection costotransverse block equivalent to thoracic paravertebral block? Acta Anaesthesiol Scand. 2019 Oct;63(9):1231-1238. doi: 10.1111/aas.13424. Epub 2019 Jul 23.

Reference Type RESULT
PMID: 31332775 (View on PubMed)

Aygun H, Kiziloglu I, Ozturk NK, Ocal H, Inal A, Kutlucan L, Gonullu E, Tulgar S. Use of ultrasound guided single shot costotransverse block (intertransverse process) in breast cancer surgery: a prospective, randomized, assessor blinded, controlled clinical trial. BMC Anesthesiol. 2022 Apr 18;22(1):110. doi: 10.1186/s12871-022-01651-3.

Reference Type DERIVED
PMID: 35436844 (View on PubMed)

Other Identifiers

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CTB in Breast surgery

Identifier Type: -

Identifier Source: org_study_id