Pectoral nerve block combined with general anesthesia for breast cancer surgery: a retrospective comparison

JA Clinical Reports
Harue MoriokaHiroshi Baba

Abstract

Acute postoperative pain is an integral risk factor in the development of chronic pain after breast cancer surgery (BCS). Pectoral nerve block (PECSB) has been recently reported as an analgesic method for BCS. Here, we retrospectively compared intraoperative opioid requirement, postoperative pain after BCS, and incidence of postoperative nausea and vomiting (PONV) in patients who underwent BCS under total intravenous anesthesia (TIVA) with or without PECSB. We reviewed anesthesia charts and medical records of 146 patients who underwent BCS at Niigata University Medical and Dental Hospital from January 2013 to March 2014; 36 patients were included in the TIVA group, and 35 patients were included in the TIVA + PECSB group. Intraoperative remifentanil requirements were significantly lower in the TIVA + PECSB group than in the TIVA group, and the cumulative distribution of remifentanil was reduced in patients who received PECSB (TIVA: 10.9 ± 2.9 μg/kg/h; TIVA + PECSB: 7.3 ± 3.3 μg/kg/h;p < 0.001). Postoperative pain scores during the 48 h after surgery were significantly lower in the TIVA + PECSB group than in the TIVA group (TIVA: 2 [1-5]; TIVA + PECSB: 1 [0-5];p = 0.03). However, administration of fentanyl during operation, perce...Continue Reading

References

May 29, 2000·Anesthesia and Analgesia·S M KleinR A Greengrass
Sep 1, 2006·The Journal of Pain : Official Journal of the American Pain Society·Ellen L PoleshuckRobert H Dworkin
Nov 12, 2009·JAMA : the Journal of the American Medical Association·Rune GärtnerHenrik Kehlet
Apr 14, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Youssef TahiriAndreas Nikolis
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Nov 8, 2014·Regional Anesthesia and Pain Medicine·Ghada Mohammad Nabih Bashandy, Dina Nabil Abbas
May 7, 2015·Journal of Clinical Anesthesia·Hironobu Ueshima, Akira Kitamura

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Citations

Jun 3, 2018·Anaesthesia·I CostacheF W Abdallah
Dec 2, 2020·European Journal of Anaesthesiology·Michael MeißnerAlexander Schnabel
Mar 14, 2021·Brazilian Journal of Anesthesiology·Bahadır Ciftciİsmail Cem Tukac
Jun 20, 2021·Regional Anesthesia and Pain Medicine·David H KimStavros G Memtsoudis

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