Thoracic Spinal Anesthesia in Awake Breast Surgery
Breast Cancer
About this trial
This is an interventional supportive care trial for Breast Cancer focused on measuring thoracic spinal, awake mastectomy, paravertebral block, analgesia, ultrasound, breast cancer
Eligibility Criteria
Inclusion Criteria:
ASA II, III, IV patients may have:
- Cardiovascular disease (e.g., rheumatic heart, systemic hypertension, ischemic heart)
- Lung disease (e.g., bronchial asthma, COPD)
- Renal disease (e.g., renal failure, polycystic kidney)
- Liver disease (e.g., cirrhosis, hepatitis)
- Endocrine disease (e.g., diabetes mellitus)
Exclusion Criteria:
- Patient refusal
- Contraindication to regional anesthesia (coagulopathy, local infection),
- Spinal deformities.
- An allergy to α 2 adrenergic agonist local anesthetic drugs.
Sites / Locations
- Oncolgy Center, Mansoura University,
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
paravertebral group
spinal group
ultrasound guided, in sitting position, or lateral position, at T2 and T4 levels, using 22 G spinal needle, in plane technique, traversing the costo-transverse ligament
Ultrasound guided, In the lateral decubitus or sitting position, the puncture performed via para-median approach, at the T4-T5 or T5-T6 interspace, with a 27G spinal needle. After piercing the ligamentum flavum, the needle's stylet removed and the hub observed for free flow of CSF; injection when there is a flow of clear CSF.