Perioperative Breast Analgesia
Autor: | Cameron M. Walker, Robert B. Maniker, Sylvia M. Nelson, Glenn E. Woodworth, Ryan M.J. Ivie |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Breast surgery medicine.medical_treatment Breast pain Breast Neoplasms Perioperative Care 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Cadaver medicine Humans Paravertebral Block 030212 general & internal medicine skin and connective tissue diseases Mastectomy Brachial plexus block Pain Postoperative business.industry Dissection Chronic pain Nerve Block General Medicine Perioperative Anatomy medicine.disease Acute Pain Surgery Treatment Outcome Anesthesiology and Pain Medicine Nerve block Female Anatomic Landmarks Chronic Pain medicine.symptom business |
Zdroj: | Regional Anesthesia and Pain Medicine. 42:609-631 |
ISSN: | 1098-7339 |
DOI: | 10.1097/aap.0000000000000641 |
Popis: | Breast surgery is exceedingly common and may result in significant acute as well as chronic pain. Numerous options exist for the control of perioperative breast pain, including several newly described regional anesthesia techniques, but anesthesiologists have an insufficient understanding of the anatomy of the breast, the anatomic structures disrupted by the various breast surgeries, and the theoretical and experimental evidence supporting the use of the various analgesic options. In this article, we review the anatomy of the breast, common breast surgeries and their potential anatomic sources of pain, and analgesic techniques for managing perioperative pain. We performed a systematic review of the evidence for these analgesic techniques, including intercostal block, epidural administration, paravertebral block, brachial plexus block, and novel peripheral nerve blocks. |
Databáze: | OpenAIRE |
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