Comparison of Preoperative Ultrasound Guided Pectoralis Nerve Block Placement Versus Intra-operative Placement: A Prospective Randomized Trial

N/ATerminatedNCT03201809

University of California, Davis12 enrolled

Overview

This study investigates the use of post-operative on-Q pain catheters for tissue expander based breast reconstruction, versus conventional ultrasound-guided blocks placed pre-operatively.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Post-operative Pain

Interventions

On-QDEVICE

0.2% Ropivicaine at 4 mL/h via On-Q catheter placed sub-pectoral

Ultrasound guided pectoral nerve blockDRUG

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

Eligibility

Sex: FEMALEMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * presenting for breast reconstruction w/ planned two-stage, sub muscular tissue expander placement. Exclusion Criteria: * pregnant, prisoners, cannot consent, history of chronic pain or pain medication use

Locations (1)

UC Davis Medical Center

Sacramento, California, United States

Outcomes

Primary Outcomes

Post-operative Narcotic Usage

amount of narcotic used

Time frame: post operation up to 2 days

Secondary Outcomes

Post-operative Anti-emetic Usage

number and amount of anti-emetic used

Time frame: post operation up to 2 days

Post-operative Self-reported Pain Scores

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

Time frame: post operation up to 2 days

Data from ClinicalTrials.gov

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