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Trial registered on ANZCTR
Registration number
ACTRN12615000669594
Ethics application status
Approved
Date submitted
31/05/2015
Date registered
29/06/2015
Date last updated
29/06/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Pectoralis-serratus interfascial plane block vs. paravertebral block for acute post-mastectomy pain
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Scientific title
In modified radical mastectomy, does Pectoralis-serratus interfascial plane block, compared to paravertebral block, reduce postoperative opioid consumption?
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Secondary ID [1]
286834
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none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Post-operative pain following modified radical mastectomy
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Condition category
Condition code
Anaesthesiology
295466
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0
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Anaesthetics
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Surgery
295644
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0
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Other surgery
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Before induction of anesthesia (pre-incision), for group PS, we will give pectoralis-serratus interfascial plane block, in which we will inject 10 ml of bupivacaine 0.25% between pectoralis major and minor muscles around the pectoral nerve. and another 20 ml of bupivacaine 0.25% between pectoralis minor and serratus anterior muscles at the level of rib 4 under ultrasonographic guidence
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Intervention code [1]
291998
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Treatment: Drugs
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Comparator / control treatment
Before induction of anesthesia (pre-incision), for group PV, we will give thoracic paravertebral block in which we will inject 7 ml of bupivacaine 0.25% at each level (the level of T2, T4 and T6) under ultrasonographic guidence
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Control group
Active
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Outcomes
Primary outcome [1]
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postoperative 24 h morphine consumption recorded on patient chart
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Assessment method [1]
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Timepoint [1]
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24 h post-operative
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Secondary outcome [1]
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The time to rescue analgesic recorded on patient chart
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Assessment method [1]
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Timepoint [1]
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24 h post-operative
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Secondary outcome [2]
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Intensity of pain measured by VAS score recorded on patient chart
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Assessment method [2]
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Timepoint [2]
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0 h (after recovery from anesthesia), 2 h, 4h, 8h, 16 h, 24 h post-operative
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Eligibility
Key inclusion criteria
Adult women, American Society of Anesthesiologists (ASA) physical status class I–III, scheduled for unilateral modified radical mastectomy (MRM) with axillary evacuation
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
The exclusion criteria included patients with a known allergy to bupivacaine or morphine, bleeding disorders, anatomical abnormalities, infection in the paravertebral region, pregnancy, breast feeding, severe obesity (body mass index >35 kg/m2), a history of drug or alcohol abuse and patients suffering from chronic pain or regularly receiving analgesics.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
25/11/2013
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Actual
25/11/2013
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Date of last participant enrolment
Anticipated
1/12/2014
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Actual
27/05/2015
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
50
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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Egypt
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State/province [1]
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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Primary sponsor type
Individual
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Name
diab fuad hetta
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Address
organization address: south egypt cancer institute, 2 el methaque st., assuit university, assuit city, 71111, egypt
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Country
Egypt
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Secondary sponsor category [1]
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Individual
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Name [1]
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noha esmail ibrahim
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Address [1]
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organization address: faculty of medicine, 1 university st., assuit university, assuit city,71111, egypt
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Country [1]
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Egypt
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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SECI-IRB IORG0006563
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Ethics committee address [1]
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south egypt cancer institute, 2 el methaque st., assuit city, 71111, egypt
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Ethics committee country [1]
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Egypt
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Date submitted for ethics approval [1]
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Approval date [1]
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01/09/2013
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Ethics approval number [1]
292940
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Summary
Brief summary
pectoralis –serratus interfascial plane block (Pecs II block) in patients scheduled for MRM and axillary evacuation was compared with thoracic paravertebral block in terms of duration of analgesia, consumption of morphine and intensity of pain in the first 24 postoperative hours.
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Trial website
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Trial related presentations / publications
none
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Public notes
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Contacts
Principal investigator
Name
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Dr diab fuad hetta
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Address
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organization address: south egypt cancer institute, 2 el methaque st., assuit university, assuit city, 71111, egypt
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Country
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Egypt
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Phone
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+201091090009
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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diab fuad hetta
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Address
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organization address: south egypt cancer institute, 2 el methaque st., assuit university, assuit city, 71111, egypt
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Country
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Egypt
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Phone
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+201091090009
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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diab fuad hetta
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Address
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organization address: south egypt cancer institute, 2 el methaque st., assuit university, assuit city, 71111, egypt
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Country
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Egypt
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Phone
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+201091090009
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Pectoralis-serratus interfascial plane block vs thoracic paravertebral block for unilateral radical mastectomy with axillary evacuation.
2016
https://dx.doi.org/10.1016/j.jclinane.2016.04.003
N.B. These documents automatically identified may not have been verified by the study sponsor.
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