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Chronic postoperative pain is an entity that is usually neglected by anesthetists, but several studies show that the choice of anesthetic technique may interfere with this prevalence. Esmolol is a selective beta-blocker of ultra fast duration that has been studied as a perioperative venous adjuvant with antihyperalgesic and opioid sparing action. The investigators ventured the possibility of this anti-hyperalgesic effect attenuating the chronic pain syndrome post-mastectomy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | Patients who underwent mastectomy under standard general anesthesia Patients in placebo group received general balanced inhaled anesthesia with sevoflurane and remifentanil and a saline 0,9% infusion pump. |
| |
| Esmolol | Patients in esmolol group received general balanced inhaled anesthesia with sevoflurane and a bolus infection of esmolol 500 mgc/kg followed by a continuous infusion of esmolol 100 mcg/kg/min |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Control | Drug | Patients who underwent mastectomy under standard general anesthesia |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of post-mastectomy chronic pain syndrome | Incidence analysis using a questionnaire applied to patients in the late postoperative period. | Through study completion, an average of 6 to 9 month |
| Measure | Description | Time Frame |
|---|---|---|
| Assess the intensity of pain: Pain Scores on the Visual Analog Scale | Pain Scores on the Visual Analog Scale, from zero to 10: 0 being represented by absence of pain and 10 being the worst possible pain | Through study completion, an average of 6 to 9 month |
| Identify possible risk factors |
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Inclusion Criteria:
- Patients previously submitted to the study Analgesic Effect of Intraoperative Esmolol in Mastectomies: a randomized placebo controlled trial
Exclusion Criteria:
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Patients previously submitted to the study Analgesic Effect of Intraoperative Esmolol in Mastectomies: a randomized placebo controlled trial, will be submitted to a questionnaire of adapted from DNS4.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Fabricio T Mendonça, MD | Contact | +5561981882640 | correidofabricio@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Fabricio T Mendonça, MD | Hospital de Base do Distrito Federal | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital de Base do Distrito Federal | Recruiting | BrasÃlia | Federal District | 70680250 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19903919 | Background | Gartner R, Jensen MB, Nielsen J, Ewertz M, Kroman N, Kehlet H. Prevalence of and factors associated with persistent pain following breast cancer surgery. JAMA. 2009 Nov 11;302(18):1985-92. doi: 10.1001/jama.2009.1568. |
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| ID | Term |
|---|---|
| C036604 | esmolol |
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| Esmolol |
| Drug |
Patients who underwent mastectomy under general anesthesia with esmolol infusion |
|
Incidence analysis using a questionnaire applied to patients in the late postoperative period. |
| Through study completion, an average of 6 to 9 month |
| Stratify the possible types of pain | Application of a questionnaire to identify the characteristics of pain (Neuropatic or non-neuropatic pain) | Through study completion, an average of 6 to 9 month |