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Unilateral mastectomy is associated with moderate to severe postoperative pain. A new regional anaesthetic technique has been recently described, call the PEC block. This technique consists of injecting local anaesthetic between different muscles of the chest in order to relieve postoperative pain. The investigators aim to verify that this technique has a clinical relevant postoperative analgesic effect. For that purpose, the investigators will randomise 50 patients scheduled to undergo unilateral mastectomy into two groups: one group will receive a PEC block after the induction of the general anaesthesia under ultrasound guidance, while the other group will not have this regional procedure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PEC block | Experimental | Ultrasound-guided PEC block after induction of general anaesthesia. |
|
| Control | Sham Comparator | No ultrasound-guided PEC block; only general anaesthesia will be provided. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PEC block + General anaesthesia | Procedure | Patients will receive an ultrasound-guided PEC block after the induction of general anaesthesia. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Intravenous morphine consumption during the first 24 postoperative hours (mg) | Postoperative day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Intravenous morphine consumption on postoperative day 2 (mg) | Postoperative day 2 | |
| Intravenous morphine consumption in phase 1 recovery (mg) | 2 postoperative hours | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Eric Albrecht | CHUV | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lausanne University Hospital | Lausanne | Canton of Vaud | 1011 | Switzerland |
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| ID | Term |
|---|---|
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D000768 | Anesthesia, General |
| ID | Term |
|---|---|
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
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| General anaesthesia | Procedure |
|
| Pain scores at rest in phase 1 recovery (visual analogue scale, 0 - 10) |
(visual analogue scale, 0 - 10) |
| 2 postoperative hours |
| Pain scores at rest on postoperative day 1 (visual analogue scale, 0 - 10) | Visual analogue scale, 0 - 10) | Postoperative day 1 |
| Pain scores at rest on postoperative day 2 (visual analogue scale, 0 - 10) | Visual analogue scale, 0 - 10) | Postoperative day 2 |
| Postoperative nausea and vomiting (yes/no) | Postoperative day 1 |
| Postoperative nausea and vomiting (yes/no) | Postoperative day 2 |
| Pruritus (yes/no) | Postoperative day 1 |
| Pruritus (yes/no) | Postoperative day 2 |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |