The clinical impact of pectoral nerve block in an 'enhanced recovery after surgery' program in breast surgery

被引：0
|
作者：
Conti, Duccio [1 ,2 ]
Valoriani, Juri [1 ,2 ]
Ballo, Piercarlo [3 ]
Pazzi, Maddalena [1 ,2 ]
Gianesello, Lara [4 ]
Mengoni, Veronica [5 ]
Criscenti, Valentina [5 ]
Gemmi, Eleonora [1 ,2 ]
Stera, Caterina [1 ,2 ]
Zoppi, Federica [1 ,2 ]
Galli, Lorenzo [5 ]
Pavoni, Vittorio [1 ,2 ]
机构：
[1] Santa Maria Annunziata Hosp, Emergency Dept, Florence, Italy
[2] Santa Maria Annunziata Hosp, Anesthesia & Intens Care Unit, Crit Care Area, I-50012 Florence, Italy
[3] Santa Maria Annunziata Hosp, Cardiol Unit, I-50012 Florence, Italy
[4] Univ Hosp Careggi, Dept Anesthesia & Intens Care, Orthoped Anesthesia, I-50012 Florence, Italy
[5] S Maria Annunziata Hosp, Breast Unit, I-50012 Florence, Italy
来源：
PAIN MANAGEMENT | 2023年
关键词：
breast analgesia; breast surgery; ERAS; length of stay; opiod-sparing analgesia; Pecs block; post-operative opioid consumption; postoperative pain; POSTOPERATIVE PAIN; ANESTHESIA; MANAGEMENT; ANALGESIA; ERAS; CARE;
D O I：
10.2217/pmt-2023-0063
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Background: Pectoral nerve block (PECS) is increasingly performed in breast surgery. Aim: The study evaluated the clinical impact of these blocks in the postoperative course. Patients & methods: In this case-control study, patients undergoing breast surgery with 'enhanced recovery after surgery' pathways were divided into group 1 (57 patients) in whom PECS was performed before general anesthesia, and group 2 (57 patients) in whom only general anesthesia was effected. Results: Postoperative opioid consumption (p < 0.002), pain at 32 h after surgery (p < 0.005) and the length of stay (p < 0.003) were significantly lower in group 1. Conclusion: Reducing opioid consumption and pain after surgery, PECS could favor a faster recovery with a reduction in length of stay, ensuring a higher turnover of patients undergoing breast surgery.
引用
收藏
页码：585 / 592
页数：8
相关论文
共 50 条
  • [21] Impact of implementation of an enhanced recovery after surgery (ERAS) program in laparoscopic Roux-en-Y gastric bypass: a prospective randomized clinical trial
    Ruiz-Tovar, Jaime
    Garcia, Alejandro
    Ferrigni, Carlos
    Gonzalez, Juan
    Castellon, Camilo
    Duran, Manuel
    SURGERY FOR OBESITY AND RELATED DISEASES, 2019, 15 (02) : 228 - 235
  • [22] Learning curve of enhanced recovery after surgery program in open colorectal surgery
    Lohsiriwat, Varut
    WORLD JOURNAL OF GASTROINTESTINAL SURGERY, 2019, 11 (03): : 169 - 178
  • [23] Enhanced recovery after surgery in microvascular breast reconstruction
    Batdorf, Niles J.
    Lemaine, Valerie
    Lovely, Jenna K.
    Ballman, Karla V.
    Goede, Whitney J.
    Martinez-Jorge, Jorys
    Booth-Kowalczyk, Andria L.
    Grubbs, Pamela L.
    Bungum, Lisa D.
    St-Cyr, Michel
    JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2015, 68 (03) : 395 - 402
  • [24] OPTIMAL ANALGESIA FOR BREAST SURGERY ENHANCED RECOVERY IN DAY SURGERY
    Bagatin, Dinko
    Bagatin, Tomica
    Sakic, Kata
    Deutsch, Judith
    Nemrava, Johann
    Simicevic, Dejan
    ACTA CLINICA CROATICA, 2022, 61 : 49 - 56
  • [25] Pectoral nerve block (Pecs block) with sedation for breast conserving surgery without general anesthesia
    Moon, Eun-Jin
    Kim, Seung-Beom
    Chung, Jun-Young
    Song, Jeong-Yoon
    Yi, Jae-Woo
    ANNALS OF SURGICAL TREATMENT AND RESEARCH, 2017, 93 (03) : 166 - 169
  • [26] Implementation of an enhanced recovery program for bariatric surgery
    Taylor, James
    Canner, Joseph
    Cronauer, Carol
    Prior, Daniel
    Coker, Alisa
    Nguyen, Hien
    Magnuson, Thomas
    Adrales, Gina
    Schweitzer, Michael
    SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2020, 34 (06): : 2675 - 2681
  • [27] Enhanced recovery after surgery (ERAS) pathways in breast reconstruction: systematic review and meta-analysis of the literature
    Offodile, Anaeze C., II
    Gu, Cindy
    Boukovalas, Stefanos
    Coroneos, Christopher J.
    Chatterjee, Abhishek
    Largo, Rene D.
    Butler, Charles
    BREAST CANCER RESEARCH AND TREATMENT, 2019, 173 (01) : 65 - 77
  • [28] Enhanced recovery after cardiac surgery
    Kolodziej, Tadeusz
    Maciejewski, Tomasz
    Mendrala, Konrad
    Darocha, Tomasz
    Weglarzy, Andrzej
    Budziarz, Barbara
    Kiermasz, Kazimierz
    Kucewicz-Czech, Ewa M.
    KARDIOCHIRURGIA I TORAKOCHIRURGIA POLSKA-POLISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2019, 16 (01) : 32 - 36
  • [29] Transverse thoracic muscle plane block as a routine strategy for cardiac enhanced recovery after surgery in sternotomy A retrospective analysis
    Deng, Qiweixi
    Zheng, Chuandong
    Xia, Keshu
    MEDICINE, 2022, 101 (11)
  • [30] Pectoral Nerve Block and Erector Spinae Plane Block and Post-Breast Surgery Complications
    Khorasanizadeh, Shayesteh
    Arabzadeh, Behnam
    Teymourian, Houman
    Mohseni, Gholam Reza
    INTERNATIONAL JOURNAL OF CANCER MANAGEMENT, 2020, 13 (03)
12345