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ESPB Versus Intravenous Lidocaine for Pain After Mastopexy

RecruitingNAAges 18 Years - 75 YearsFemaleCentre of Postgraduate Medical Education
NCT07687069 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Elective breast reduction surgery is associated with moderate-to-severe postoperative pain and a risk of developing chronic postsurgical pain. Enhanced Recovery After Surgery (ERAS) protocols and the Procedure-Specific Postoperative Pain Management (PROSPECT) guidelines emphasize the importance of multimodal analgesia to reduce pain, minimize opioid consumption, and accelerate functional recovery following surgical procedures, including breast surgery. The erector spinae plane block (ESPB) has demonstrated effectiveness in breast reduction surgery by reducing postoperative pain intensity, perioperative opioid and non-opioid analgesic consumption, and improving patient satisfaction and recovery time. Furthermore, the use of ESPB has been associated with a reduced incidence of postoperative nausea and vomiting. ESPB is performed with the patient in the sitting position and involves ultras

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📋 Eligibility rules (as published)
Inclusion Criteria: * ASA physical status I-III * Scheduled for elective breast reduction surgery for non-oncological indications Exclusion Criteria: * Refusal or inability to provide written informed consent * History of chronic somatic or neuropathic pain * Current psychiatric disorders or ongoing treatment with antidepressant medications * Poorly controlled cardiovascular disease * Known allergy or intolerance to amide local anesthetics, including lidocaine and bupivacaine * Current alcohol abuse or substance use disorder
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What it tests

  • Ultrasound - guided Erector Spine Plane Block (ESPB)
  • Intraoperative intravenous lidocaine infusion
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Where

1 site
Centre of Postgraduate Medical Education,Department of Anesthesia and Intensive Care
Warsaw, Poland
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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