The purpose of the study is to test the effects of metoprolol on anaesthesia and the need for perioperative analgesics in patients undergoing breast surgery. With 12 months follow-up the incidence of pain and life satisfaction will be evaluated.
The purpose of the study is to test the effects of intraoperative metoprolol on 1) anaesthetic and alagesic use 2) pain during the early postoperative period and 3) the incidence of pain and lide satisfaction up to 12 months after the surgery. Adverse effects will be recorded as safety measures.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Intraoperative metoprolol infusion.
Equal of volume compared to metoprolol.
Anaesthesia
Total consumption of desflurane
Time frame: Intraoperative
Anaesthesia
Total consumption of remifentanil
Time frame: Intraoperative
Postoperative pain
Total analgesics consumption
Time frame: First 4 postoperative hours
Postoperative pain
Time to analgesics
Time frame: First 4 postoperative hours
Postoperative pain
Numerical pain scale (0 = no pain, 10 = most pain) at rest and at movement
Time frame: First 4 postoperative hours
Long-term pain
The incidence and the level of pain at 3 months
Time frame: 3 months
Long-term pain
The incidence and the level of pain at 12 months
Time frame: 1 year
Safety and tolerability
Number of patients with adverse effects
Time frame: Perioperative
Distribution to the central nervous system
Cerebro spinal fluid and blood samples
Time frame: Perioperative
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Life satisfaction
Life satisfaction in a Likerts scale
Time frame: 1 year
Anxiety
Spielberg State-Trait Anxiety Inventory
Time frame: 1 year
Depression
Beck Depression Inventory
Time frame: 1 year