Study of Nerve Block Pain Management in Patients Undergoing a Double Mastectomy With Immediate Reconstruction
Breast Cancer, Breast Cancer Female
About this trial
This is an interventional treatment trial for Breast Cancer focused on measuring Mastectomy, Double Mastectomy, Mastectomy with reconstruction, Double mastectomy with reconstruction, Double mastectomy with immediate reconstruction, Mastectomy with immediate reconstruction, Memorial Sloan Kettering Cancer Center, 19-238
Eligibility Criteria
Inclusion Criteria:
- Female patients >/= 18 years old
- Undergoing Bilateral Mastectomy with immediate reconstruction (BMw/IR)
- Scheduled for surgery at Josie Robertson Surgical Center (JRSC)
- Must be appropriate for an agree to receive a nerve block
- Must be appropriate for randomization
- Able to read and speak English
- Willing and able to provide written informed consent
Exclusion Criteria:
- None applicable, as exclusion occurs prior to consent
Sites / Locations
- Memorial Sloan Kettering Cancer Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
PVB
PVB + PECS-1
Serratus + PECS-1
Patient will be placed in the prone, lateral, or sitting position. With an ultrasound probe placed in the parasagittal or transverse position, the paravertebral space will be identified. Injections will be done in an in-plane manner relative to the ultrasound probe. Local anesthesia will be injected to cover T1-T6 dermatomes.
Patient will be placed in the prone, lateral, or sitting position. With an ultrasound probe placed in the parasagittal or transverse position, the paravertebral space will be identified. Injections will be done in an in-plane manner relative to the ultrasound probe. Local anesthesia will be injected to cover T1-T6 dermatomes. For PECS-1, the patient will be placed in the supine position with an ultrasound probe placed inferolaterally starting at the mid-clavicular level the pectoralis major and minor will be identified. Injection of local anesthesia will be performed between the pectoralis major and minor.
For PECS-1, the patient will be placed in the supine position with an ultrasound probe placed inferolaterally starting at the mid-clavicular level the pectoralis major and minor will be identified. Injection of local anesthesia will be performed between the pectoralis major and minor. For the serratus block, the patient will be placed in the supine or lateral decubitus position and with an ultrasound probe, in the parasagittal plane, the serratus muscles will be identified. Injections will be done in-plane below the serratus anterior.