Prevention of Post-Mastectomy Breast Pain Using Ambulatory Continuous Paravertebral Blocks



Status:Completed
Conditions:Breast Cancer, Cancer, Cosmetic
Therapuetic Areas:Dermatology / Plastic Surgery, Oncology
Healthy:No
Age Range:18 - Any
Updated:4/21/2016
Start Date:October 2010
End Date:March 2016

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Research study to determine if putting local anesthetic—or numbing medication—through a tiny
tube placed next to the nerves that go to a breast prior to and following a mastectomy will
decrease subsequent pain.

Specific Aim 1: To determine if, compared with current and customary analgesia, the addition
of a multiple-day ambulatory continuous paravertebral block decreases the incidence and
severity of post-mastectomy pain.

Hypothesis 1: Following mastectomy, the incidence and severity of breast pain will be
significantly decreased in the week following surgery with a multiple-day ambulatory
continuous paravertebral block as compared with patients receiving standard-of-care
treatment (as measured on the 11-point numeric rating scale).

Hypothesis 2: Following mastectomy, the incidence and severity of chronic pain will be
significantly decreased three months following multiple-day ambulatory continuous
paravertebral blocks as compared with patients receiving standard-of-care treatment (as
measured on the 11-point numeric rating scale).

Inclusion Criteria:

- undergoing unilateral or bilateral mastectomy

- desiring analgesia with a paravertebral nerve block(s)

- age 18 years or older

- female

Exclusion Criteria:

- morbid obesity as defined by a body mass index > 40

- renal insufficiency

- chronic opioid use

- history of opioid abuse

- any comorbidity which results in moderate or severe functional limitation

- inability to communicate with the investigators or hospital staff

- pregnancy

- incarceration
We found this trial at
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La Jolla, California 92037
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La Jolla, CA
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