Modified Pectoral Nerve Block versus Serratus Block for Analgesia Following Modified Radical Mastectomy: A Randomized Controlled Trial
| Autor: | Khaled M Kamel, Ahmed H Bakeer, Ahmed H Abouel Soud, Ahmed Salah Abdelgalil, Ayman Ghoneim, Mohamed E Hassan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Bupivacaine
business.industry Visual analogue scale Sedation medicine.medical_treatment Modified Radical Mastectomy Fentanyl law.invention 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine Randomized controlled trial 030202 anesthesiology law Anesthesia medicine Nerve block medicine.symptom business 030217 neurology & neurosurgery Postoperative nausea and vomiting medicine.drug |
| Zdroj: | Journal of Pain Research. 13:1769-1775 |
| ISSN: | 1178-7090 |
| DOI: | 10.2147/jpr.s252539 |
| Popis: | Background Modified pectoral nerves (PECSII) and serratus blocks have been recently used for analgesia in breast surgery, but evidence comparing their analgesic benefits is limited. This prospective randomized, controlled study aims to examine the analgesic efficacy and safety profile of ultrasound-guided PECSII versus serratus blocks in patients undergoing modified radical mastectomy (MRM) for breast cancer. Patients and Methods One-hundred and eighty adult females scheduled for MRM were randomly allocated to three groups. PECS group patients received a PECSII block with 30mL of bupivacaine 0.25%, whereas SAPB group received a serratus anterior plane block (SAPB) using the same volume of bupivacaine 0.25% before induction of anesthesia. The control group received general anesthesia alone. Outcomes included 24 hours morphine consumption, intraoperative fentanyl requirements, visual analogue scale (VAS) scores for pain at rest and during movement, time to first rescue analgesia, postoperative nausea and vomiting (PONV), and sedation scores. Results Both PECSII and serratus blocks were associated with reduced postoperative morphine consumption compared to the control group (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|