in this study we are investigating the role of instillation of Bupivacaine through surgical drains at the end of mastectomy surgeries in controlling post operative pain and decreasing their pain killers requirement in the early postoperative period
patients were enrolled into 2 groups. in one group the wound was installed by 40ml of 0.25% bupivacaine through axillary and chest wall drains (20ml in each drain). Then, the drains were clamped for 20 minutes. in the other group the wound was installed by 40ml of 0.9% normal saline through axillary and chest wall drains (20ml in each drain). Then, the drains were clamped for 20 minutes. (placebo group) patients and health care providers were blinded as regard the study group patients enrolled in. Visual Analog Pain Scale which is a score for detection of how much the patient is annoyed from the pain- was assessed two and four hours post-operative then every four hours thereafter.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
TRIPLE
Enrollment
168
Faculty of Medicine, Main Univeristy Hospital
Alexandria, Egypt
Visual analogue pain score
The intensity of pain will be assessed by the VAS score
Time frame: first 24 hours
Number of demands for analgesic
How many times the patient will require analgesics
Time frame: First 24 hours
Timing of first demand for analgesic
Time lapse between recovery from surgery and first demand for analgesic
Time frame: First 24 hours
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