Pectoral nerves block as a component of multimodal analgesia in breast cancer surgery
Objective: to evaluate the efficacy and safety of adding pectoral nerve block to anesthesia regimen in radical mastectomy.Subjects and methods. 65 female patients underwent unilateral radical mastectomy under general anesthesia. All patients enrolled into the study were divided into two groups. Grou...
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doaj-19d1903bc8734891b8a6e7a1b1288fbc2021-07-28T13:37:21ZrusNEW TERRA Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532020-01-01166303610.21292/2078-5658-2019-16-6-30-36352Pectoral nerves block as a component of multimodal analgesia in breast cancer surgeryA. S. Buyanov0V. V. Stadler1D. V. Zabolotskiy2V. A. Koryachkin3M. O. Vozdvizhenskiy4A. P. Borisov5M. V. Tkachev6Samara Regional Clinical Oncological DispensarySamara Regional Clinical Oncological DispensarySt. Petersburg State Pediatric Medical UniversitySt. Petersburg State Pediatric Medical UniversitySamara Regional Clinical Oncological DispensarySamara Regional Clinical Oncological DispensarySamara Regional Clinical Oncological DispensaryObjective: to evaluate the efficacy and safety of adding pectoral nerve block to anesthesia regimen in radical mastectomy.Subjects and methods. 65 female patients underwent unilateral radical mastectomy under general anesthesia. All patients enrolled into the study were divided into two groups. Group 1 included patients (the main one, n = 33) who had PEC block and general anesthesia; Group 2 (the control one, n = 32) had general anesthesia only.Results. The group of patients with PEC block versus the Control Group, demonstrated a lower score of the visual analogue scale at all stages of the study. The intra-operative fentanyl consumption was statistically significantly lower in Group 1 versus the Control Group (290.91 ± 67.84 and 393.75 ± 66.90 μg, respectively, p < 0.033). The consumption of opioid analgesics during the 1st day in the Main Group was 2-fold lower compared to the Control Group – 30.91 ± 12.34 and 63.75 ± 9.42 mg, respectively (p < 0.026). In Group 1, the time till the first analgesia with promedol made 309.55 ± 56.59 minutes.Conclusions. Pectoral nerves block combined with general anesthesia provides effective analgesia during breast surgery with axillary lymph node dissection.https://www.vair-journal.com/jour/article/view/386breast cancermultimodal analgesiaregional anesthesiapectoral nerve block |
collection |
DOAJ |
language |
Russian |
format |
Article |
sources |
DOAJ |
author |
A. S. Buyanov V. V. Stadler D. V. Zabolotskiy V. A. Koryachkin M. O. Vozdvizhenskiy A. P. Borisov M. V. Tkachev |
spellingShingle |
A. S. Buyanov V. V. Stadler D. V. Zabolotskiy V. A. Koryachkin M. O. Vozdvizhenskiy A. P. Borisov M. V. Tkachev Pectoral nerves block as a component of multimodal analgesia in breast cancer surgery Вестник анестезиологии и реаниматологии breast cancer multimodal analgesia regional anesthesia pectoral nerve block |
author_facet |
A. S. Buyanov V. V. Stadler D. V. Zabolotskiy V. A. Koryachkin M. O. Vozdvizhenskiy A. P. Borisov M. V. Tkachev |
author_sort |
A. S. Buyanov |
title |
Pectoral nerves block as a component of multimodal analgesia in breast cancer surgery |
title_short |
Pectoral nerves block as a component of multimodal analgesia in breast cancer surgery |
title_full |
Pectoral nerves block as a component of multimodal analgesia in breast cancer surgery |
title_fullStr |
Pectoral nerves block as a component of multimodal analgesia in breast cancer surgery |
title_full_unstemmed |
Pectoral nerves block as a component of multimodal analgesia in breast cancer surgery |
title_sort |
pectoral nerves block as a component of multimodal analgesia in breast cancer surgery |
publisher |
NEW TERRA Publishing House |
series |
Вестник анестезиологии и реаниматологии |
issn |
2078-5658 2541-8653 |
publishDate |
2020-01-01 |
description |
Objective: to evaluate the efficacy and safety of adding pectoral nerve block to anesthesia regimen in radical mastectomy.Subjects and methods. 65 female patients underwent unilateral radical mastectomy under general anesthesia. All patients enrolled into the study were divided into two groups. Group 1 included patients (the main one, n = 33) who had PEC block and general anesthesia; Group 2 (the control one, n = 32) had general anesthesia only.Results. The group of patients with PEC block versus the Control Group, demonstrated a lower score of the visual analogue scale at all stages of the study. The intra-operative fentanyl consumption was statistically significantly lower in Group 1 versus the Control Group (290.91 ± 67.84 and 393.75 ± 66.90 μg, respectively, p < 0.033). The consumption of opioid analgesics during the 1st day in the Main Group was 2-fold lower compared to the Control Group – 30.91 ± 12.34 and 63.75 ± 9.42 mg, respectively (p < 0.026). In Group 1, the time till the first analgesia with promedol made 309.55 ± 56.59 minutes.Conclusions. Pectoral nerves block combined with general anesthesia provides effective analgesia during breast surgery with axillary lymph node dissection. |
topic |
breast cancer multimodal analgesia regional anesthesia pectoral nerve block |
url |
https://www.vair-journal.com/jour/article/view/386 |
work_keys_str_mv |
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