ESPBs Vs TAPs for Satisfactory Analgesia Following DIEP Surgery
Purpose
Breast cancer is the second most common cancer diagnosed in American women . For patients who have undergone surgical mastectomy, autologous breast reconstruction is an alternative option to breast implants. Deep Inferior Epigastric Perforator (DIEP) flaps are the gold standard for autologous breast reconstruction . Effective pain control following surgery is imperative and ultrasound-guided bilateral transversus abdominis plane blocks (TAPs) with the infiltration of local anesthetics, such a bupivacaine are a common regional technique of choice . A newer described technique, bilateral Erector Spinae Plane blocks (ESPBs) (which also are an infiltration of local anesthetic) present as an alternative approach for post-operative analgesia. ESPBs have been proven efficacious in reducing intra- and post-operative opioid requirements, lessening the need for rescue analgesics in other similar surgical procedures. The hypothesis is that preoperative bilateral ESPBs could provide equivalent pain control as a regional analgesic for patients undergoing DIEP flap surgery when compared to preoperative bilateral TAPs
Condition
- Pain
Eligibility
- Eligible Ages
- Between 18 Years and 70 Years
- Eligible Genders
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Adult women with breast cancer, ASA 1-3, undergoing DIEP flap surgery
Exclusion Criteria
- Chronic opioid use contraindications to local anesthetics or regional analgesia Inability to communicate intensity of pain on a numeric analog scale
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Prevention
- Masking
- Double (Participant, Outcomes Assessor)
- Masking Description
- The principal investigator will be unblinded. The study coordinator will be blinded, unable to access procedure notes and randomization assignment
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Other Group 1: Erector Spinae Plane blocks |
Erector Spinae Plane blocks |
|
Other Group 2: Transversus Abdominis Plane blocks |
Transversus Abdominis Plane blocks |
|
Recruiting Locations
Kansas City, Kansas 66160
More Details
- Status
- Recruiting
- Sponsor
- University of Kansas Medical Center