Establishing Technique for PECS2 Catheter Insertion

Study Overview
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Brief Summary
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The investigators are trying to establish an easy technique for insertion of a catheter for continuous infusion while performing pectoral type 2 (serratus) block, as a post operative pain controlling measure for cases undergoing simple mastectomy, using ultrasound guidence

Detailed Description
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As the space between the pectoralis minor and the serratus anterior is a fashial plane with a connective tissue occupying. we are trying to demonstrate a simple technique for inserting a catheter within that fashial plane and making sure of the catheter position, to ensure post operative analgesia for cases performing simple mastectomy. Now the Pectoralis type 2 block (PECS type 2) is an established technique as regional block technique for chest wall procedures. We are trying to maximizing the benefit of the block with a catheter insertion to use it for continuous infusion of bupivacaine for controlling post operative pain in cases performing simple mastectomy procedure

Official Title
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Establishing Technique for PECS Type 2 (Serratus Block) Catheter Insertion With Ultrasound Guidence

Conditions
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Breastcancer, Phyllodes Breast Tumor

Intervention / Treatment
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* Procedure: Pectoralis II block & catheter without Lidocaine dissection
* Procedure: Pectoralis II block & catheter with Lidocaine dissection
* Other: catheter insertion


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Female patient scheduled for simple mastectomy Accepted performing the block Exclusion Criteria: Patients on anticogulants Chest wall infection Patient refusal

Ages Eligible for Study
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Minimum Age: 21 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Interventional Without Dissectioin<br>confirming insertion of B Braun Catheter Kit Contiplex with 18 Gauge needle using ultrasound without injecting 10 ml of lidocaine 1% as a dissecting solution | Procedure: Pectoralis II block & catheter without Lidocaine dissection<br>* B Braun Catheter Kit Contiplex with a 18 gauge needle will be used. After topicalization of the skin and sterilization using ultrasound guidance to facilitate performing insertion of the canula. Confirming the tip position will be done by ultrasonography while performing pectoralis type 2 block for cases undergoing simple mastectomy procedures<br>Other: catheter insertion<br>* catheter insertion after Lidocaine dissection<br>|
| Other: Interventional With Dissectioin<br>confirming insertion of B Braun Catheter Kit Contiplex with 18 Gauge needle using ultrasound after injecting 10 ml of lidocaine 1% as a dissecting solution | Procedure: Pectoralis II block & catheter with Lidocaine dissection<br>* B Braun Catheter Kit Contiplex with a 18 gauge needle will be used. After topicalization of the skin and sterilization using ultrasound guidance to facilitate performing insertion of the canula. 10 ml of lidocaine 1% will be injected for plan dissection to facilitate the procedure. Confirming the tip position will be done by ultrasonography while performing pectoralis type 2 block for cases undergoing simple mastectomy procedures<br>Other: catheter insertion<br>* catheter insertion after Lidocaine dissection<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| successful catheter insertion | confirming catheter insertion 5 cm beyond the tip of needle in the proper plan using ultrasound | during time of performing the block | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of attempts | Number of attempts needed for successful insertion | during time of performing the block | 
| Duration needed for insertion | Duration needed for successful insertion | during time of performing the block | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pecs block, breast surgery, ultrasound guidence