Ultrasound vs. Predetermined Distance Techniques for Paravertebral Nerve Block in Patients Having Breast Surgery
Status: | Recruiting |
---|---|
Conditions: | Breast Cancer, Cancer, Cosmetic |
Therapuetic Areas: | Dermatology / Plastic Surgery, Oncology |
Healthy: | No |
Age Range: | 25 - 85 |
Updated: | 4/2/2016 |
Start Date: | October 2010 |
End Date: | October 2016 |
Contact: | Kristie Osteen, MD |
Email: | kosteen@ochsner.org |
Phone: | 504-842-3755 |
A Comparison Of Ultrasound and Predetermined Distance Techniques For Paravertebral Space Localization In Breast Surgery: A Randomized Prospective Trial
The purpose of this study is to compare ultrasound and predetermined distance techniques for
finding the paravertebral space to inject the local anesthetic (numbing medicine) when you
are given anesthesia for surgery. The paravertebral space is located on either side of the
spinal cord and contains the nerves that provide sensation to the chest wall. The
predetermined distance technique is a series of measurements taken to determine the location
of the paravertebral space where the local anesthetic is injected. The ultrasound technique
uses direct visualization of the local anesthetic being placed in the paravertebral space.
This type of anesthesia has many benefits including decreasing your pain after breast
surgery.
finding the paravertebral space to inject the local anesthetic (numbing medicine) when you
are given anesthesia for surgery. The paravertebral space is located on either side of the
spinal cord and contains the nerves that provide sensation to the chest wall. The
predetermined distance technique is a series of measurements taken to determine the location
of the paravertebral space where the local anesthetic is injected. The ultrasound technique
uses direct visualization of the local anesthetic being placed in the paravertebral space.
This type of anesthesia has many benefits including decreasing your pain after breast
surgery.
Inclusion Criteria:
- Females age 25 - 85
- ASA Physical status I-III
- Scheduled for primary mastectomy
- Ability to give informed consent
Exclusion Criteria:
- Allergy to:
Local anesthetics Fentanyl Hydromorphone Propofol Midazolam
- Patient refusal
- Infection at the injection site
- Peripheral Neuropathy
- Bilateral breast surgery
- Prior thoracic surgery on surgical side
- Severe spinal deformity
- Coagulopathy
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