Intraoperative pectoral block versus thoracic paravertebral block for postoperative analgesia after breast cancer surgery: A randomized controlled trial
| العنوان: | Intraoperative pectoral block versus thoracic paravertebral block for postoperative analgesia after breast cancer surgery: A randomized controlled trial |
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| المؤلفون: | Aslinur Sagun, Sebnem Rumeli, Levent Ozdemir, Mustafa Azizoglu, Mustafa Berkesoglu, Veli Mutlu |
| المصدر: | Journal of Surgical Oncology. 126:425-432 |
| بيانات النشر: | Wiley, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Pain, Postoperative, Thoracic Nerves, Oncology, Humans, Breast Neoplasms, Female, Surgery, General Medicine, Analgesia, Bupivacaine, Mastectomy |
| الوصف: | With the increasing rate of breast cancer surgery, the pain management of these patients gains importance. The aim of this study is to compare the ultrasound (US) guided thoracic paravertebral block (TPV) versus intraoperative pectoral nerve block (PECS) with a low volume local anaesthetic for postoperative analgesia after breast cancer surgery. A total of 41 patients underwent mastectomy and sentinel lymph node biopsy or modified radical mastectomy were included in this randomized controlled, single-blinded trial. The patients were divided into two groups as PECS and TPV blocks. In the PECS group, 10 ml of 0.5% bupivacaine was administered to the fascial plane by the surgeon. In the TPV group, 25 ml of 0.25% bupivacaine at T3 level was administered by the anaesthetist under US-guidance. Visual analogue scale (VAS) scores and additional analgesic requirements were recorded at postoperative 0, 6, 12, 24 and 48 h.In the TPV group, mean VAS score (VAS0) was significantly lower (p ˂ 0.001). In other time periods, there was no significant difference between the groups.It was observed that intraoperative PECS block was as effective as TPV in providing postoperative analgesia and additional analgesic requirements were similar. This result suggests PECS block may be a good alternative to TPV. |
| تدمد: | 1096-9098 0022-4790 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a88b1f4cf5e86750882215fdcf79902d https://doi.org/10.1002/jso.26914 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....a88b1f4cf5e86750882215fdcf79902d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 10969098 00224790 |
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