医学
麻醉
芬太尼
改良根治术
外科
镇静
乳房切除术
肋间神经
吗啡
术后恶心呕吐
可视模拟标度
恶心
乳房外科
乳腺癌
神经阻滞
癌症
内科学
作者
Ghada M.N. Bashandy,Dina N Abbas
出处
期刊:Regional Anesthesia and Pain Medicine
[BMJ]
日期:2015-01-01
卷期号:40 (1): 68-74
被引量:293
标识
DOI:10.1097/aap.0000000000000163
摘要
Background
The pectoral nerves (Pecs) block types I and II are novel techniques to block the pectoral, intercostobrachial, third to sixth intercostals, and the long thoracic nerves. They may provide good analgesia during and after breast surgery. Our study aimed to compare prospectively the quality of analgesia after modified radical mastectomy surgery using general anesthesia and Pecs blocks versus general anesthesia alone. Methods
One hundred twenty adult female patients scheduled for elective unilateral modified radical mastectomy under general anesthesia were randomly allocated to receive either general anesthesia plus Pecs block (Pecs group, n = 60) or general anesthesia alone (control group, n = 60). Results
Statistically significant lower visual analog scale pain scores were observed in the Pecs group than in the control group patients. Moreover, postoperative morphine consumption in the Pecs group was lower in the first 12 hours after surgery than in the control group. In addition, statistically significant lower intraoperative fentanyl consumption was observed in the Pecs group than in the control group. In the postanesthesia care unit, nausea and vomiting as well as sedation scores were lower in the Pecs group compared with the control group. Overall, postanesthesia care unit and hospital stays were shorter in the Pecs group than in the control group. Conclusions
The combined Pecs I and II block is a simple, easy-to-learn technique that produces good analgesia for radical breast surgery.
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