ESPBs vs TAPs for Satisfactory Analgesia Following DIEP Surgery
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 . Ef
| Condition(s) | Pain |
|---|---|
| Status | Recruiting |
| Phase | NA |
| Study type | Interventional |
| Summary | 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 ropivacaine 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- |
| Who can participate | 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 |
| Ages | 18 Years to 70 Years |
| Sex | Female |
| Lead sponsor | University of Kansas Medical Center |
| Locations | Kansas City, Kansas, United States |
| Start date | 2023-11-01 |
| NCT ID | NCT06091241 |
| Official listing | https://clinicaltrials.gov/study/NCT06091241 |