Opioid-free anesthesia: OFA group will be sedated using dexmedetomidine and lidocaine.
Conventional opioid-based anesthesia: Conventional opioid-based anesthesia group will be sedated using remi-fentanyl
Study 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
FEMALE
Min age
19 Years
Max age
80 Years
Healthy volunteers
No
Inclusion Criteria:
* All of patients will undergo mastectomy with or without immediate breast reconstruction.
Exclusion Criteria:
* Previous history of breast surgery
* Allergy to drug
* Other cancer history
* Underlying psychologic disorder
* Patients with chronic pain requiring pain killers
* Baseline SpO2 \<95%
* Left ventricular EF \<40%
* Bradycardia as HR \<50 bpm
* BMI \>35kg/m2
* Pregnant woman
Primary outcome measure(s)
chronic breast pain at 1 year after mastectomy — 1 year after mastectomy chronic pain will be assessed by Breast Cancer Pain Questionnaire (BCPQ). Zero score means absence of persisting breast-related pain. The minimum and maximum values of pain scale are 0 and 11, respectively. High score means worse outcome. Moderating role of preoperative psychosocial factors on the impact of OFA on chronic postoperative pain will be evaluated.
Trial sites (1)
Facility
City
Region
Status
Gangnam Severance Hospital
Seoul
South Korea
Recruiting
More Gangnam Severance Hospital trials in South Korea
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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