Study of Nerve Block Pain Management in Patients Undergoing a Double Mastectomy With Immediate Reconstruction

Cluster-Randomized, Prospective Assessment of Postoperative Pain Management in Patients Undergoing Bilateral Mastectomy With Immediate Reconstruction With Tissue Expander (BMWRw/TE) Using Preoperative Paravertebral (PVB), Serratus+PECS-1, or PVB+PECS-1 Nerve Blocks

The purpose of this study is to determine if the injection site or sites used for administering pain medication (nerve blocks) before a double mastectomy with immediate reconstruction with tissue expanders reduce the need for pain medication after surgery.

Inclusion Criteria:

• Female patients >/= 18 years old
• Undergoing Bilateral Mastectomy with immediate reconstruction (BMw/IR)
• Scheduled for surgery at Josie Robertson Surgical Center (JRSC)
• Must be appropriate for an agree to receive a nerve block
• Must be appropriate for randomization
• Able to read and speak English
• Willing and able to provide written informed consent

Exclusion Criteria:

• None applicable, as exclusion occurs prior to consent