Comparison of Ultrasound‐Guided Type‐II Pectoral Nerve Block and Rhomboid Intercostal Block for Pain Management Following Breast Cancer Surgery: A Randomized, Controlled Trial

Autor:	Mahmut Zenciroglu, Yunus Oktay Atalay, Ismail Cem Tukac, Bahadir Ciftci, Mürsel Ekinci, Erkan Çelik, Pelin Basim
Rok vydání:	2021
Předmět:	medicine.medical_specialty Visual analogue scale Breast surgery medicine.medical_treatment Analgesic Breast Neoplasms law.invention Fentanyl 03 medical and health sciences 0302 clinical medicine Breast cancer Randomized controlled trial Breast Surgery 030202 anesthesiology law medicine Humans Pain Management Prospective Studies Ultrasonography Interventional Bupivacaine Pain Postoperative Thoracic Nerves business.industry medicine.disease Acute Pain Surgery Anesthesiology and Pain Medicine Nerve block Female Regional Anesthesia business 030217 neurology & neurosurgery Truncal Blocks medicine.drug
Zdroj:	Pain Practice. 21:638-645
ISSN:	1533-2500 1530-7085
DOI:	10.1111/papr.13004
Popis:	Purpose Although breast-conserving surgery-axillary dissection (BCS-AD) is a minimally invasive surgery, patients may suffer from moderate-to-severe pain. Several regional techniques can be used for pain control. The type II pectoral nerve block (PECS II) and the rhomboid intercostal block (RIB) are interfascial plane blocks that have been reported to provide effective analgesia after breast surgery. This study aims to compare the analgesic efficacy of the PECS II block and the RIB after breast surgery. Patients and methods Ninety female patients aged 18 to 65 years with American Society of Anesthesiologists (ASA) classes I and II physical status who underwent unilateral BCS-AD surgery were included. Patients were divided into three groups (n = 30 in each): the PECS II group, the RIB group, or the control group. PECS II block and RIB were performed with 30 mL 0.25% bupivacaine. Ibuprofen 400 mg IV 3 × 1 was given in the postoperative period. A patient control analgesia device included a dose of 10 µg/mL fentanyl, which was prepared and connected to the patients. Results There were no statistical differences between groups in terms of demographical data. Postoperative fentanyl consumption was significantly lower in the PECS II and RIB groups than the control group. The need for rescue analgesia use was significantly higher in the control group than the other groups. At all times, visual analog scale scores were significantly lower in the PECS II and RIB groups than the control group. Conclusions The PECS II block and the RIB provide similar effective analgesia after BCS-AD.
Databáze:	OpenAIRE
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