What Can Breast and Plastic Surgeons Do to Help Fight the Opioid Crisis: The Interpectoral Block for Pain Control Following Aesthetic and Reconstructive Breast Surgery
| Autor: | Tanir M. Allweis, Michael Scheflan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Standard of care AcademicSubjects/MED00987 business.industry Breast surgery medicine.medical_treatment Postoperative pain General surgery Analgesic General Engineering 030230 surgery Cannula My Way 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Blunt Opioid Ablative case medicine business medicine.drug |
| Zdroj: | Aesthetic Surgery Journal. Open Forum |
| ISSN: | 2631-4797 |
| Popis: | With the heightened awareness of the dangers of opioid administration, the importance of providing effective non-opioid postoperative pain management is evident. Regional analgesia for breast surgery has been described, but it is unclear how widely it is utilized. The authors describe a simple block performed during ablative, aesthetic, and reconstructive breast surgery to improve postoperative pain control and significantly decrease the need for postoperative pain medications. The interpectoral (PECS I) block covers the lateral and medial pectoral nerves and can be administered by the anesthesiologist under ultrasound guidance after induction of general anesthesia, or by the surgeon under direct vision, using a blunt cannula, at the time of surgery. The authors have been practicing this technique in every patient undergoing aesthetic, ablative, and reconstructive breast surgery in the last 4 years. In approximately 350 patients, none received opioids after discharge, which was either same day or the following day. The authors provide a brief review of the literature and a detailed description of the technique along with a video demonstrating the procedures. Intraoperative pectoral block is a simple and effective technique for decreasing postoperative pain and analgesic requirements and could be widely adopted as a standard of care in breast surgery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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