RecruitingNot ApplicableNCT05146778

A Study to Reduce Persistent Post-mastectomy Pain Using Opioid-free Anesthesia

A Single-blinded Randomized-controlled Study to Reduce Persistent Post-mastectomy Pain Using Multimodal Opioid-free Anesthesia


Sponsor

Gangnam Severance Hospital

Enrollment

230 participants

Start Date

Dec 16, 2021

Study Type

INTERVENTIONAL

Conditions

Summary

In 230 patients undergoing mastectomy, the investigators will compare opioid-free anesthesia (OFA) versus conventional opioid-based anesthesia in terms of chronic pain. The enrolled patients will be randomly assigned into two groups with 1:1 ratio. Chronic pain will be evaluated at 1 year after mastectomy based on the Breast Cancer Pain Questionnaire (BCPQ). Baseline pain sensitivity test and psychologic evaluation will be done before operation.


Eligibility

Sex: FEMALEMin Age: 19 YearsMax Age: 80 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether using an opioid-free anesthesia approach during mastectomy (breast removal surgery) can reduce the chance of developing long-lasting pain afterward. Persistent pain after mastectomy is a known problem, and researchers think avoiding opioids during surgery may help. **You may be eligible if...** - You are scheduled for a mastectomy, with or without immediate breast reconstruction **You may NOT be eligible if...** - You have had prior breast surgery - You have a known drug allergy - You have a history of another cancer - You have a chronic pain condition requiring pain medications - You have low blood oxygen levels (SpO2 below 95%), weak heart function (ejection fraction below 40%), very slow heart rate (below 50 bpm), or a high BMI (over 35) - You have an underlying psychological disorder - You are pregnant Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

PROCEDUREOpioid-free anesthesia

OFA group will be sedated using dexmedetomidine and lidocaine.

PROCEDUREConventional opioid-based anesthesia

Conventional opioid-based anesthesia group will be sedated using remi-fentanyl


Locations(1)

Gangnam Severance Hospital

Seoul, South Korea

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NCT05146778


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