Dergiler / Dicle Tıp Dergisi / 2021 / Cilt: 48 Sayı: 4

Comparison of the Analgesic Effects of Ultrasound Guided Pectoral Nerve Block Type II and Erector Spinae Plane Block in Breast Cancer Surgery

Mustafa Bicak(UNIVERSITY OF HEALTH SCIENCES, DİYARBAKIR GAZİ YAŞARGİL HEALTH RESEARCH CENTER)
Fikret Salik(UNIVERSITY OF HEALTH SCIENCES, DİYARBAKIR GAZİ YAŞARGİL HEALTH RESEARCH CENTER)
Sayfa
644–653
Yayın Tarihi
2021-12-01
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Conclusions: In patients who underwent breast surgery for malignancy, we found that the ultrasound (US) guided PECs 2 block achieved more effective postoperative analgesia compared to ESP block.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Objectives: To compare the effect of ultrasound guided Pectoral Nerve Block 2 (PECs 2) and Erector Spinae Plane Block (ESP) for post op analgesia in patients undergoing Breast cancer surgery Methods: This observationally planned study included 40 patients over the age of ages of 18 who are of American Society of Anesthesiologists (ASA) I-III and scheduled for elective surgery due to breast malignancy were included in the study.
📊
Temel Bulgular & Veri:PECs 2 block was applied to the patients after the induction of general anesthesia in Group 1 and ESP block was applied to the patients after the induction of general anesthesia in Group 2.
💡
Sonuç & Katkı:Conclusions: In patients who underwent breast surgery for malignancy, we found that the ultrasound (US) guided PECs 2 block achieved more effective postoperative analgesia compared to ESP block.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Breast surgery · Erector Spinae Plane Block · Pain management

Özet

Objectives: To compare the effect of ultrasound guided Pectoral Nerve Block 2 (PECs 2) and Erector Spinae Plane Block (ESP) for post op analgesia in patients undergoing Breast cancer surgery Methods: This observationally planned study included 40 patients over the age of ages of 18 who are of American Society of Anesthesiologists (ASA) I-III and scheduled for elective surgery due to breast malignancy were included in the study. PECs 2 block was applied to the patients after the induction of general anesthesia in Group 1 and ESP block was applied to the patients after the induction of general anesthesia in Group 2. In the postoperative period, visual analog scale (VAS) values, nausea, vomiting and sedation score values and analgesic doses used by all patients in the post-operative period were recorded. Results: Intraoperative and postoperative opioid consumption was statistically significantly lower in the PECs block group than in the ESP group. Postoperative analgesia time was longer in the PECs group. The number of patients requiring rescue opioid in the post-operative period was statistically significantly lower in the PECs group. There was no difference between the groups in terms of complications, mobilization time, time of discharge, postoperative nausea-vomiting (PONV) and terms of sedation. Conclusions: In patients who underwent breast surgery for malignancy, we found that the ultrasound (US) guided PECs 2 block achieved more effective postoperative analgesia compared to ESP block.

Abstract

Objectives: To compare the effect of ultrasound guided Pectoral Nerve Block 2 (PECs 2) and Erector Spinae Plane Block (ESP) for post op analgesia in patients undergoing Breast cancer surgery Methods: This observationally planned study included 40 patients over the age of ages of 18 who are of American Society of Anesthesiologists (ASA) I-III and scheduled for elective surgery due to breast malignancy were included in the study. PECs 2 block was applied to the patients after the induction of general anesthesia in Group 1 and ESP block was applied to the patients after the induction of general anesthesia in Group 2. In the postoperative period, visual analog scale (VAS) values, nausea, vomiting and sedation score values and analgesic doses used by all patients in the post-operative period were recorded. Results: Intraoperative and postoperative opioid consumption was statistically significantly lower in the PECs block group than in the ESP group. Postoperative analgesia time was longer in the PECs group. The number of patients requiring rescue opioid in the post-operative period was statistically significantly lower in the PECs group. There was no difference between the groups in terms of complications, mobilization time, time of discharge, postoperative nausea-vomiting (PONV) and terms of sedation. Conclusions: In patients who underwent breast surgery for malignancy, we found that the ultrasound (US) guided PECs 2 block achieved more effective postoperative analgesia compared to ESP block.

🔖

Bu Makaleye Atıf Yap

Bicak, M., Salik, F. (2021). Comparison of the Analgesic Effects of Ultrasound Guided Pectoral Nerve Block Type II and Erector Spinae Plane Block in Breast Cancer Surgery. Dicle Tıp Dergisi, Cilt: 48 Sayı: 4, 644–653. https://doi.org/10.5798/dicletip.999785

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (4)

  1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2016. CA Cancer J Clin. 2016; 66: 7-30.
  2. Çiftci F, TolgaKafadar M. The Role Of Breast-Conserving Surgery In The Treatment Of Early-Stage Breast Cancer. Dicle Med J. 2020; 47: 852-8.
  3. Vadivelu N, Schreck M, Lopez PAJ, Kodumudi G, Narayan D. Pain after mastectomy and breast reconstruction. Am Surg. 2008; 74: 285-96.
  4. Hussain N, Brull R, McCartney CJL, et al. Pectoralis-II Myofascial Block and Analgesia in Breast Cancer Surgery: A Systematic Review and Meta-analysis. Anesthesiology. 2019; 131: 630-48.