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Trial registered on ANZCTR
Registration number
ACTRN12617000687392
Ethics application status
Approved
Date submitted
11/04/2017
Date registered
12/05/2017
Date last updated
12/05/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of local anesthetic infiltration to the nerves which lies on pectoral (chest) muscles on postoperative ( after operation) analgesia and opioid ( narcotic analgesics) consumption in aesthetic breast surgery operation.
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Scientific title
The effect of pectoral nerve blocks on postoperative analgesia and opioid consumption in aesthetic breast surgery operation.
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Secondary ID [1]
291653
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Nil Known
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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:
postoperative pain following breast reconstruction surgery
302805
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Condition category
Condition code
Anaesthesiology
302302
302302
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0
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Pain management
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
At the end of breast surgery operation anesthesiologists will perform pectoral nerve blocks patients in intervention group. After skin disinfection first anesthesiologists will give 20 ml %0.25 bupivacaine to fascia which lies between pectoralis minor and serratus anterior muscles between 3. and 4. ribs guided under ultrasound view. Then the same amount of bupivacaine will be given fascia which lies between pectoralis major and minor muscles. We will use appropriate needles for this intervention.It will take approximately 5 minutes.
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Intervention code [1]
297738
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Treatment: Drugs
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Comparator / control treatment
no treatment
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Control group
Active
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Outcomes
Primary outcome [1]
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postoperative pain score which assessed with visual analog scale ( VAS)
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Assessment method [1]
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Timepoint [1]
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Postoperative 0,1,2,4,6,8,12 and 24. hours
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Secondary outcome [1]
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Amount of postoperative opioid consumption for analgesia. which assessed with medical records and Patient controlled analgesia records.
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Assessment method [1]
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Timepoint [1]
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postoperative 0,1,2,4,6,8,12 and 24. hours
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Eligibility
Key inclusion criteria
1) Will undergo Aesthetic breast surgery operation
2)between 20-65 years old
3)American Society of Anesthesiologists (ASA) physical status I-II patients.
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Minimum age
20
Years
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Maximum age
65
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1)antiepileptic drug use
2)Known allergy to study drugs
3)Severe renal or hepatic disease
4)Psychiatric disorders
5) Routine use of opioids or NSAI drugs
6)Pregnancy or lactation
7)Neurpathic disorders
8) Rejects study participation or using patient controlled analgesia device
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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
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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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
Not yet recruiting
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Date of first participant enrolment
Anticipated
15/05/2017
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Actual
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Date of last participant enrolment
Anticipated
30/04/2018
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Actual
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Date of last data collection
Anticipated
2/05/2018
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Actual
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Sample size
Target
54
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
8785
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Turkey
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State/province [1]
8785
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Konya
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Funding & Sponsors
Funding source category [1]
296152
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University
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Name [1]
296152
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Baskent University
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Address [1]
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Taskent Caddesi (Eski 1. Cadde) 77. Sokak (Eski 16. Sokak) No:11 06490 Bahcelievler / ANKARA
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Country [1]
296152
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Turkey
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Primary sponsor type
University
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Name
Baskent University
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Address
Taskent Caddesi (Eski 1. Cadde) 77. Sokak (Eski 16. Sokak) No:11 06490 Bahcelievler / ANKARA
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Country
Turkey
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
295083
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Country [1]
295083
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
297398
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Baskent University Clinical Research Ethical Committee
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Ethics committee address [1]
297398
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Taskent Caddesi 77. Sokak No:11 06490 Bahcelievler Cankaya/ Ankara
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Ethics committee country [1]
297398
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Turkey
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Date submitted for ethics approval [1]
297398
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12/12/2016
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Approval date [1]
297398
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13/01/2017
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Ethics approval number [1]
297398
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KA 16/358
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Summary
Brief summary
Using opioids for postoperative analgesia is a standard modality. But opioid related side effects like nausea-vomiting, respiratory depression, urinary retention, Pruritus limits its use. Peripheral nerve and truncus block with local anesthetics can improve postoperative analgesia and reduce opioid requirement. Our primary purpose in this study ; to investigate effect of pectoral nerve blocks on postoperative analgesia and total opioid consumption in aesthetic breast surgery operation.. We will take written informed consent for all patients before the procedure. We will record age, height, weight, American Society of Anesthesiologists (ASA) physical status of all patients.We will randomize patients into two group with computer program.In the operation room, we will routinely monitor electrocardiography, peripheric oxygen saturation and blood pressure.Standard anesthesia induction will perform for general anesthesia. At the end of breast surgery operation we will perform pectoral nerve blocks patients in intervention group. After skin disinfection first we will give 20 cc %0.25 bupivacaine fascia which lies between pectoralis minor and serratus anterior muscles between 3. and 4. ribs guided under ultrasound view. Then the same amount of bupivacaine will be given fascia which lies between pectoralis major and minor muscles. We will use appropriate needles for this intervention.It will take approximately 5 minutes. Both group ( control and intervebntion group) will take same postoperative analgesics routinely. Postoperative analgesia will provided with patient controlled analgesia (PCA) device which contains opioid drugs. Postoperative analgesia will measure with visual analog scale for pain and opioid consumption with PCA datas postoperative 0,1,2,4,6,8,12 and 24. hours .
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mr Huseyin Ulas Pinar
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Address
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Baskent University Konya Research Center Anesthesiology Department
Hocacihan mah. saray cad. no:1 Selcuklu /Konya
Postal Code : 42080
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Country
73918
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Turkey
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Phone
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+905055251992
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Fax
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+903322570637
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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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Huseyin Ulas Pinar
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Address
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Baskent University Konya Research Center Anesthesiology Department
hocacihan mah saray cad No: 1 Selcuklu/Konya
Postal Code : 42080
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Country
73919
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Turkey
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Phone
73919
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+905055251992
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Fax
73919
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+903322570637
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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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Huseyin Ulas Pinar
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Address
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Baskent University Konya Research Center Anesthesiology Department
hocacihan mah saray cad No: 1 Selcuklu/Konya
Postal Code : 42080
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Country
73920
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Turkey
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Phone
73920
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+905055251992
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Fax
73920
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+903322570637
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Email
73920
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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
Pectoral nerve (PECs) block for postoperative analgesia-a systematic review and meta-analysis with trial sequential analysis.
2020
N.B. These documents automatically identified may not have been verified by the study sponsor.
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