Unique ID issued by UMIN | UMIN000039651 |
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Receipt number | R000045226 |
Scientific Title | A Combined Thoracic Interfascial Plane Block for Postoperative Pain Relief and Quality of Recovery after Breast Cancer Surgery: A Prospective, Observational Cohort Study |
Date of disclosure of the study information | 2020/03/01 |
Last modified on | 2020/02/29 22:50:55 |
A Combined Thoracic Interfascial Plane Block for Postoperative Pain Relief and Quality of Recovery after Breast Cancer Surgery: A Prospective, Observational Cohort Study
A Combined Thoracic Interfascial Plane Block for Postoperative Pain Relief and Quality of Recovery after Breast Cancer Surgery: A Prospective, Observational Cohort Study
A Combined Thoracic Interfascial Plane Block for Postoperative Pain Relief and Quality of Recovery after Breast Cancer Surgery: A Prospective, Observational Cohort Study
A Combined Thoracic Interfascial Plane Block for Postoperative Pain Relief and Quality of Recovery after Breast Cancer Surgery: A Prospective, Observational Cohort Study
Japan |
Patients undergoing breast cancer surgery
Breast surgery | Anesthesiology |
Malignancy
NO
Chronic pain after breast cancer surgery adversely affects the patient's daily life and reduces the quality of life. As a method of preventing chronic pain after breast cancer surgery, it is adequate to relieve acute pain immediately after surgery. As a method, peripheral nerve block performed on the chest wall was reported by Blanco et al., attracting attention as a low-risk analgesic method after breast surgery. Recently, many variants of this block have been reported, and some of them have been combined to provide a broader range of analgesia.
As an evaluation of postoperative analgesia, a VAS scale or NRS scale of pain is generally used, but in recent years, an analgesic method has been evaluated from the viewpoint of the quality of recovery after the operation (Quality of Recovery). However, no effect of the combination of peripheral nerve block of the chest wall as described above on the quality of postoperative recovery, has been reported.
The primary purpose of this study is to examine the effects of a combination of chest wall peripheral nerve blocks on pain and quality of recovery after breast surgery as a prospective observational study in the acute and chronic phases (up to one year after surgery).
Efficacy
Exploratory
Explanatory
Not applicable
Visual Analog Scale (VAS) pain score 3 hours after surgery
Visual Analog Scale (VAS) pain score for "morning following surgery" and "maximum until the morning after surgery."
Quality of Recovery (QoR-40; questionnaire consisting of 40 items) before and three days after surgery, 1, 3, 6, and 12 months after surgery.
Patient age, height, weight, gender
Surgery time
Total fentanyl usage, total remifentanil usage
Postoperative nausea and vomiting
Frequent use of postoperative analgesics
Time to need the first rescue analgesia
Whether there are complications associated with the block (vascular puncture, pneumothorax, hematoma, nerve damage, etc.)
Observational
20 | years-old | <= |
70 | years-old | >= |
Female
Patients undergoing breast cancer surgery at Bell Land General Hospital.
Patients who do not agree with this study, pregnant and parturient women, allergy to local anesthetics, significant psychiatric or mental disorders, patients with chronic pain.
30
1st name | Toshinori |
Middle name | |
Last name | Horiuchi |
Bell Land General Hospital
Department of Anesthesia
599-8247
500-3, Higashiyama, Naka-Ku, Sakai, Osaka
0745381023
thoriuch@kcn.jp
1st name | Toshinori |
Middle name | |
Last name | Horiuchi |
Bell Land General Hospital
Department of Anesthesia
599-8247
500-3, Higashiyama, Naka-Ku, Sakai, Osaka
0722342001
t_horiuchi@seichokai.or.jp
Department of Anesthesia, Bell Land General Hospital
None
Self funding
Bell Land General Hospital Institutional Review Board
500-3, Higashiyama, Naka-Ku, Sakai, Osaka
0722342001
rib@seichokai.or.jp
NO
ベルランド総合病院(大阪府)
2020 | Year | 03 | Month | 01 | Day |
Unpublished
30
Completed
2016 | Year | 03 | Month | 01 | Day |
2020 | Year | 02 | Month | 20 | Day |
2016 | Year | 07 | Month | 01 | Day |
2020 | Year | 12 | Month | 31 | Day |
Observe the primary outcome, the Visual Analog Scale (VAS) pain score 3 hours after surgery, and the secondary outcomes, which are:
Quality of Recovery (QoR-40; questionnaire consisting of 40 items) before and three days after surgery, 1, 3, 6, and 12 months after surgery.
Visual Analog Scale (VAS) pain score for "morning following surgery" and "maximum until the morning after surgery."
Patient age, height, weight, gender
Surgery time
Total fentanyl usage, overall remifentanil usage
Postoperative nausea and vomiting
Frequent use of postoperative analgesics
Time to need the first rescue analgetic
Whether there are complications associated with the block (vascular puncture, pneumothorax, hematoma, nerve damage, etc.)
2020 | Year | 02 | Month | 29 | Day |
2020 | Year | 02 | Month | 29 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000045226
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