医学
麻醉
止痛药
乳房切除术
恶心
随机对照试验
术后恶心呕吐
外科
乳腺癌
癌症
内科学
作者
Hammad Nabeel Najeeb,Syed Raza Mehdi,Athar Mukhtar Siddiqui,Syeda Kiran Batool
出处
期刊:JCPSP. Journal of the College of Physicians & Surgeons Pakistan
[College of Physicians and Surgeons Pakistan]
日期:2019-10-01
卷期号:29 (10): 910-914
被引量:10
标识
DOI:10.29271/jcpsp.2019.10.910
摘要
To primarily assess pain score in first 24 hours in PECS (PECtoral Serratus) block group undergoing mastectomy; secondary objective was to observe opioid and antiemetic consumption in the postoperative period.Observer-blinded randomised control trial.Department of Anesthesiology, Shaukat Khanum Memorial Cancer Hospital Lahore (SKMCH), from February to December 2017.One hundred and twenty patients of more than 18 years, ASA I and II, planned for unilateral elective modified radical mastectomy under general anesthesia, were scheduled randomly to receive either general anesthesia plus PECS block (n = 60) or general anesthesia alone (n = 60). Pain scores at fixed intervals were measured using Numeric Pain Rating Score (NPRS) after the surgery.Pain score in the PECS block group was significantly lower than the control group in postoperative period. Less dose of morphine was required in the PECS block group postoperatively for pain control. Postoperative nausea and vomiting (PONV) incidence was lower in the intervention group (PECS block) as compared with the control group.PECS block has a better analgesic efficacy in patients undergoing mastectomy.
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