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RETRACTED ARTICLE: Effects of ultrasound-guided stellate-ganglion block on sleep and regional cerebral oxygen saturation in patients undergoing breast cancer surgery: a randomized, controlled, double-blinded trial

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This article was retracted on 01 June 2023

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Abstract

Numerous factors could contribute to sleep disturbances in women with breast cancer. We hypothesized that stellate ganglion block (SGB) during surgery would preserve sleep after surgery and increase intraoperative regional cerebral oxygen saturation (rSO2) on the blocked side in patients undergoing breast cancer surgery. A randomized, double-blinded, controlled trial was conducted at the First Hospital of China Medical University from January 2016 to September 2016. Ninety-six patients who underwent radical breast cancer surgery requiring general anaesthesia were randomly assigned to one of two study groups: a control group that received a saline SGB and a block group that received a 0.25% ropivacaine hydrochloride SGB. The primary outcome measure was the postoperative sleep profile, which was assessed using the bispectral index on the first postoperative night. The secondary outcome measure was the intraoperative rSO2, monitored was throughout surgery using near-infrared spectroscopy. A total of 91 female patients (mean age: 45 years; range 24–51 years) were included in the study. The duration of sleep was significantly increased by 66.3 min in the ropivacaine-SGB group compared with the saline-SGB group. No differences in rSO2 were observed on either the left or right side of the patients in either group 50 min after anaesthesia induction. We conclude that ropivacaine-SGB combined with general anaesthesia might increase the first postoperative sleep duration without influencing the intraoperative rSO2 in female patients undergoing elective breast cancer surgery.


Clinical trials.gov identifier NCT02651519

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References

  1. Costa AR, Fontes F, Pereira S, Goncalves M, Azevedo A, Lunet N. Impact of breast cancer treatments on sleep disturbances: a systematic review. Breast. 2014;23:697–709. doi:10.1016/j.breast.2014.09.003.

    Article  PubMed  Google Scholar 

  2. Ho SY, Rohan KJ, Parent J, Tager FA, McKinley PS. A longitudinal study of depression, fatigue, and sleep disturbances as a symptom cluster in women with breast cancer. J Pain Symptom Manag. 2015;49:707–15. doi:10.1016/j.jpainsymman.2014.09.009.

    Article  Google Scholar 

  3. Kapral S, Krafft P, Gosch M, Fleischmann D, Weinstabl C. Ultrasound imaging for stellate ganglion block: direct visualization of puncture site and local anesthetic spread. A pilot study. Reg Anesth. 1995;20:323–8.

    CAS  PubMed  Google Scholar 

  4. Perrine DC, Votta-Velis G, Borgeat A. Ultrasound indications for chronic pain management: an update on the most recent evidence. Curr Opin Anaesthesiol. 2016;29:600–5. doi:10.1097/aco.0000000000000369.

    Article  PubMed  Google Scholar 

  5. Kumar N, Thapa D, Gombar S, Ahuja V, Gupta R. Analgesic efficacy of pre-operative stellate ganglion block on postoperative pain relief: a randomised controlled trial. Anaesthesia. 2014;69:954–60. doi:10.1111/anae.12774.

    Article  CAS  PubMed  Google Scholar 

  6. Chen Y, Xie Y, Xue Y, Wang B, Jin X. Effects of ultrasound-guided stellate ganglion block on autonomic nervous function during CO2-pneumoperitoneum: a randomized double-blind control trial. J Clin Anesth. 2016;32:255–61. doi:10.1016/j.jclinane.2016.03.019.

    Article  PubMed  Google Scholar 

  7. Lipov EG, Joshi JR, Sanders S, Wilcox K, Lipov S, Xie H, Maganini R, Slavin K. Effects of stellate-ganglion block on hot flushes and night awakenings in survivors of breast cancer: a pilot study. Lancet Oncol. 2008;9:523–32. doi:10.1016/s1470-2045(08)70131-1.

    Article  PubMed  Google Scholar 

  8. Haest K, Kumar A, Van Calster B, Leunen K, Smeets A, Amant F, Berteloot P, Wildiers H, Paridaens R, Van Limbergen E, Weltens C, Janssen H, Peeters S, Menten J, Vergote I, Morlion B, Verhaeghe J, Christiaens MR, Neven P. Stellate ganglion block for the management of hot flashes and sleep disturbances in breast cancer survivors: an uncontrolled experimental study with 24 weeks of follow-up. Ann Oncol. 2012;23:1449–54. doi:10.1093/annonc/mdr478.

    Article  CAS  PubMed  Google Scholar 

  9. Jobsis FF. Noninvasive, infrared monitoring of cerebral and myocardial oxygen sufficiency and circulatory parameters. Science. 1977;198:1264–7.

    Article  CAS  PubMed  Google Scholar 

  10. Park HM, Kim TW, Choi HG, Yoon KB, Yoon DM. The change in regional cerebral oxygen saturation after stellate ganglion block. Korean J Pain. 2010;23:142–6. doi:10.3344/kjp.2010.23.2.142.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Kim EM, Yoon KB, Lee JH, Yoon DM, Kim do H. The effect of oxygen administration on regional cerebral oxygen saturation after stellate ganglion block on the non-blocked side. Pain Physician. 2013;16:117–24.

    Article  PubMed  Google Scholar 

  12. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193–213.

    Article  CAS  PubMed  Google Scholar 

  13. Bourne RS, Mills GH, Minelli C. Melatonin therapy to improve nocturnal sleep in critically ill patients: encouraging results from a small randomised controlled trial. Crit Care. 2008;12:R52. doi:10.1186/cc6871.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Tung A, Lynch JP, Roizen MF. Use of the BIS monitor to detect onset of naturally occurring sleep. J Clin Monit Comput. 2002;17:37–42.

    Article  PubMed  Google Scholar 

  15. Lerman J. Study design in clinical research: sample size estimation and power analysis. Can J Anaesth. 1996;43:184–91. doi:10.1007/bf03011261.

    Article  CAS  PubMed  Google Scholar 

  16. Klein RN, Burk DT, Chase PF. Anatomically and physiologically based guidelines for use of the sphenopalatine ganglion block versus the stellate ganglion block to reduce atypical facial pain. Cranio. 2001;19:48–55.

    Article  CAS  PubMed  Google Scholar 

  17. Lynch JH, Mulvaney SW, Kim EH, de Leeuw JB, Schroeder MJ, Kane SF. Effect of stellate ganglion block on specific symptom clusters for treatment of post-traumatic stress disorder. Mil Med. 2016;181:1135–41. doi:10.7205/milmed-d-15-00518.

    Article  PubMed  Google Scholar 

  18. Fisher WI, Johnson AK, Elkins GR, Otte JL, Burns DS, Yu M, Carpenter JS. Risk factors, pathophysiology, and treatment of hot flashes in cancer. CA Cancer J Clin. 2013;63:167–92. doi:10.3322/caac.21171.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Tan WF, Guo B, Ma H, Li XQ, Fang B, Lv HW. Changes in postoperative night bispectral index of patients undergoing thoracic surgery with different types of anaesthesia management: a randomized controlled trial. Clin Exp Pharmacol Physiol. 2016;43:304–11. doi:10.1111/1440-1681.12530.

    Article  CAS  PubMed  Google Scholar 

  20. Jin F, Li XQ, Tan WF, Ma H, Lu HW. Preoperative versus postoperative ultrasound-guided rectus sheath block for improving pain, sleep quality and cytokine levels of patients with open midline incisions undergoing transabdominal gynaecological operation: study protocol for a randomised controlled trial. Trials. 2015;16:568. doi:10.1186/s13063-015-1096-0.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Tan WF, Wang ZL, Ma H, Jin F, Lu HW. Changes in the first postoperative night bispectral index of patients after thyroidectomy with different types of primary anesthetic management: a randomized controlled trial. J Clin Monit Comput. 2017. doi:10.1007/s10877-016-9974-x.

    Article  PubMed  Google Scholar 

  22. Benissa MR, Khirani S, Hartley S, Adala A, Ramirez A, Fernandez-Bolanos M, Quera-Salva MA, Fauroux B. Utility of the bispectral index for assessing natural physiological sleep stages in children and young adults. J Clin Monit Comput. 2015. doi:10.1007/s10877-015-9800-x.

    Article  PubMed  Google Scholar 

  23. Germon TJ, Evans PD, Barnett NJ, Wall P, Manara AR, Nelson RJ. Cerebral near infrared spectroscopy: emitter-detector separation must be increased. Br J Anaesth. 1999;82:831–7.

    Article  CAS  PubMed  Google Scholar 

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Funding

This work was funded by the Natural Science Foundation of Liaoning Province (2014021035) to Wen-fei Tan.

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Correspondence to Wen-fei Tan.

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Conflict of interest

The authors declare that there are no conflicts of interest arising from this study.

Ethics approval

The trial was approved by the Ethics Committee of the First Hospital of China Medical University (protocol number 2015110302, Chairman Prof. Xing-hua Gao, December 14, 2015, Trial registration:NCT02651519 Principal investigator’s name: Wen-fei Tan, Date of registration: 2016-01-05 https://clinicaltrials.gov/ct2/show/NCT02651519?term=NCT02651519&rank=1) and was registered with the Clinical Trials Registry (NCT02651519).

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All participants provided written informed consent in accordance with the Declaration of Helsinki.

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Jin, F., Li, Xq., Tan, Wf. et al. RETRACTED ARTICLE: Effects of ultrasound-guided stellate-ganglion block on sleep and regional cerebral oxygen saturation in patients undergoing breast cancer surgery: a randomized, controlled, double-blinded trial. J Clin Monit Comput 32, 855–862 (2018). https://doi.org/10.1007/s10877-017-0074-3

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  • DOI: https://doi.org/10.1007/s10877-017-0074-3

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