Comparison of Pre-op and Post-op Pectoralis Nerve Block
Breast Cancer, Postoperative Pain, Anesthesia
About this trial
This is an interventional health services research trial for Breast Cancer focused on measuring Nerve block, Pectoralis nerve blocks, PECS I, PECS II, Mastectomy
Eligibility Criteria
Inclusion Criteria:
- At least 18 years of age
- Female
- Bilateral mastectomy for breast cancer
- Undergoing breast reconstruction
- Must weigh at least 50 kg
Exclusion Criteria:
- More than 80 years of age
- Male
- Prisoners
- Patients who can't provide their own consent
- Lumpectomy only patients
- Patients having prophylactic mastectomies
- Patient must weigh at least 50 kg
- Allergies to local anesthetics
- Patient refusal
- Patients with a history of bleeding disorders
- Non-English speaking patients
Sites / Locations
- University of Iowa Hospitals and Clinics
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
PEC I/II block - pre-operative
PEC I/II block - intra-operative
The current standard of care at the University of Iowa is to receive a pectoralis nerve block (PEC I/II) prior to surgery for mastectomy and reconstruction case. The intervention administered to Group I will having the block performed by the anesthesiologist after induction of general anesthesia and prior to surgical incision.
The current standard of care at the University of Iowa is to receive a pectoralis nerve block (PEC I/II) prior to surgery for mastectomy and reconstruction cases. Group II will have the block administered by the surgeon after mastectomy is performed and before reconstruction.