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Patients undergoing breast surgery were divided into two groups: Intravenous Lidocaine (Lido-IV) vs Erector Spinae Block (ESP).
For Lido-IV group, patients received a loading dose of Lidocaine than a continuous infusion till the end of surgery.
For ESP group, an ultrasound guided ESP Block was perormed before anesthetic induction.
Persistant pain post mastectomy was assessed by SFM-PQ score at 1, 3 and 6 months post surgery.
Patients undergoing breast surgery with lymph node dissection were divided into two groups: Intravenous Lidocaine (Lido-IV) vs Erector Spinae Block (ESP).
For Lido-IV group, patients received a loading dose of 1.5 mg/kg of Lidocaine than a continuous infusion of 2 mg/kg/h till the end of surgery.
For ESP group, an ultrasound guided ESP Block was perormed before anesthetic induction with injection of 30 ml of Ropivacaine 3.75%.
For both group, persistant pain post mastectomy was assessed by Item 5 of BPI score at 1, 3 and 6 months post surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lidocaine-IV | Experimental | Intravenous Lidocaine dose loading than continuous infusion |
|
| Erector spinae Block | Active Comparator | An ultrasound guided Erector Spinae Block is performed with injection of 30 ml of Ropivacaine 3.75% |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lido-IV | Drug | Intravenous Lidocaine dose loading than a continuous infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Item 5 of Brief Pain inventory score (BPI Score) | Note of Brief Pain inventory Scale (BPI Score) | item 5 of the BPI score evaluated as follows: 0 minimum score and 10 maximum score, at 01, 03 and 06 months post surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Acute pain assessed by Simple Verbal Scale (SVS) | Acute Postoperative pain was assessed by the Simple Verbal Scale (SVS) | Postoperatively, at Hour 2, Hour 12 and Hour 24 |
| Postoperative nausea and vomiting |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tunisia | Nabeul | 8000 | Tunisia |
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Erector spinae plane block VS intravenous lidocaine.
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| ESP Block | Drug | ultrasound guided block with injection of Ropivacaine |
|
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Incidence of postoperative nausea and vomiting during the first 24 hours
| During the first 24hours postoperatively |
| Hospital length of stay | hospital length of stay (in days) | From the end of the surgery to discharge from the hospital |
| DN4 questionnaire (DN4) | DN4 questionnaire scale | DN4 represented by 10 items with a score from a minimum of 0 to a maximum of 10, at 03 and 06 months post surgery |
| The short-form McGill Pain Questionnaire (SFM-PQ) | The short-form McGill Pain Questionnaire Scale: Sensory and affective components of pain (11 sensory items and 4 affective items) | the 15 items are rated on a four-point pain intensity scale, at 01, 03 and 06 months after surgery |