Use of ultrasound guided single shot costotransverse block (intertransverse process) in breast cancer surgery: a prospective, randomized, assessor blinded, controlled clinical trial

Ultrasound guided costotransverse block (CTB) is a relatively new "peri-paravertebral" block that has been described recently. It has been previously reported that CTB, administered with a single high-volume injection, provides effective analgesia in breast conserving surgery. In this stud...

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Bibliographic Details
Published in:BMC anesthesiology 2022-04, Vol.22 (1), p.110-110, Article 110
Main Authors: Aygun, Hakan, Kiziloglu, Ilker, Ozturk, Nilgun Kavrut, Ocal, Haydar, Inal, Abdullah, Kutlucan, Leyla, Gonullu, Edip, Tulgar, Serkan
Format: Article
Language:English
Subjects:
Analgesia
Analgesics
Analgesics, Opioid - therapeutic use
Anesthesia
Body mass index
Breast cancer
Breast Neoplasms - surgery
Bupivacaine
Cancer surgery
Clinical trials
Female
General anesthesia
Humans
Lumpectomy
Medical personnel
Medical research
Medicine, Experimental
Morphine
Narcotics
Nerve Block
Opioids
Pain
Pain perception
Pain, Postoperative - drug therapy
Pain, Postoperative - prevention & control
Patients
Postoperative Pain
Prospective Studies
Regional anesthesia
Registration
Remifentanil
Skin
Surgery
Ultrasonic imaging
Ultrasonography, Interventional
Ultrasound
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Summary:Ultrasound guided costotransverse block (CTB) is a relatively new "peri-paravertebral" block that has been described recently. It has been previously reported that CTB, administered with a single high-volume injection, provides effective analgesia in breast conserving surgery. In this study we evaluated the effect of CTB when used in breast cancer surgery. Seventy patients due to undergo breast cancer surgery were included in this blinded, prospective, randomized, efficiency study. Patients were randomized into two equal groups (CTB group and control group) using the closed envelope technique. All patients underwent general anesthesia. In addition to standard analgesia methods, patients in group CTB also received CTB block while the remaining (control group) did not. Numeric rating (pain) scores and opioid consumption was compared between the two groups. Opioid consumption in all time frames and pain scores at 1st and 3rd hours only were found to be significantly lower in Group CTB when compared to the control group. Ultrasound guided CTB improves analgesia quality in breast cancer surgery. Clinicaltrials Registration ID: NCT04197206 , Registration Date: 13/12/2019.
ISSN:1471-2253
1471-2253
DOI:10.1186/s12871-022-01651-3