Thoracic Combined Spinal Epidural Anesthesia for Breast Surgery

NCT ID: NCT04706247

Last Updated: 2021-05-18

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

Total Enrollment

26 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-01-04

Study Completion Date

2021-05-17

Brief Summary

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The aim of the study is to investigate the efficacy of the thoracic combined spinal epidural anesthesia in breast surgery.

Detailed Description

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Previous studies of the regional anesthetic techniques such as erector spinae plane block and pectoralis nerve blocks (PECs blocks) additional to general anesthesia have described their use for postoperative analgesia in breast surgery. It has been also reported that these blocks can be used to provide surgical anesthesia in breast surgery . Segmental thoracic epidural anesthesia can be used as an alternative anesthetic technique in patients with severe chronic obstructive pulmonary disease and asthma undergoing breast surgery. It has been also reported that thoracic spinal anesthesia was effective and successful in patients undergoing laparoscopic surgery. In this study, efficacy of high thoracic spinal epidural anesthesia in patients undergoing breast surgery will be evaluated.

Conditions

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Pain Breast Diseases

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Interventions

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thoracic combined spinal epidural anesthesia

A combined spinal-epidural anesthesia set will be used for the block. Using the loss of resistance to saline technique, an 18 G Tuohy needle will be advanced to the T2-3 vertebral interspace with the mid-line approach. After confirming the epidural space, a 26 G pencil point spinal needle will be inserted slowly through the Tuohy needle to puncture the dura. After free flow of cerebrospinal fluid will be observed, local anesthetic wil be injected into the subarachnoid space over 15 secs. Then, an epidural catheter will be inserted into the epidural space.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients who will be to undergo elective surgery for breast surgery
* American Society of Anesthesiologists (ASA) physical status classification groups I or II

Exclusion Criteria

* body mass index\>35 kg/m2,
* presence of any condition complicating and contraindicating spinal epidural anesthesia.
Minimum Eligible Age

18 Months

Maximum Eligible Age

70 Months

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Antalya Training and Research Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lutfi Ozyurek, M.D.

Role: STUDY_DIRECTOR

Antalya Training and Research Hospital

Locations

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Antalya Training and Research Hospital

Antalya, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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lutfi1

Identifier Type: -

Identifier Source: org_study_id

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