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Aim of the work The aim of the study is to compare between the effects of ultrasound guided thoracic paravertebral block, pectoral nerve block II, and erector spinae block in management of pain during cancer breast surgeries. The hypothesis of the study is that the three groups will give comparative results.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group (D) | Placebo Comparator | Patient will receive opioid only for management of their perioperative pain |
|
| Paravertebral block Group (A) | Active Comparator | Will receive thoracic paravertebral block |
|
| Pectoral block Group (B) | Active Comparator | Will receive pectoral 1 and 2 block |
|
| Erector spinae block Group (C) | Active Comparator | Will receive erector spinae block |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound guided block | Procedure | Giving one regional block |
|
| Measure | Description | Time Frame |
|---|---|---|
| The primary outcome of the study will be duration of analgesia (time to first rescue analgesia after administration of the block). | minutes | 0-24o minutess |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain | assessed by VAS score (0-10) where 0=no pain and 10=worst pain | 48 hours |
| Total morphine consumption | recorded postoperatively in mg |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| kareem M mikhimer, m.sc | assistant fellow, Ahmed Maher Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine Menofia University | Shibīn al Kawm | Menofia | 32511 | Egypt |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D009020 | Morphine |
| ID | Term |
|---|---|
| D009022 | Morphine Derivatives |
| D009019 | Morphinans |
| D053610 | Opiate Alkaloids |
| D000470 | Alkaloids |
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|
| IV morphine | Drug | given when VAS>3 |
|
| 48 hours |
| Postoperative nausea and vomiting (PONV) | 4 points score of PONV (0-3) where 0=no PONV and 3=vomiting more than once | 48 hours |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D006571 |
| Heterocyclic Compounds |
| D006572 | Heterocyclic Compounds, Bridged-Ring |
| D006576 | Heterocyclic Compounds, 4 or More Rings |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D010616 | Phenanthrenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D011083 | Polycyclic Compounds |