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
  • [31] Enhanced recovery after surgery in children
    Rafeeqi, Talha
    Pearson, Erik G.
    TRANSLATIONAL GASTROENTEROLOGY AND HEPATOLOGY, 2021, 6
  • [32] Cost impact analysis of Enhanced Recovery After Surgery program implementation in Alberta colon cancer patients
    Nelson, G.
    Kiyang, L. N.
    Chuck, A.
    Thanh, N. X.
    Gramlich, L. M.
    CURRENT ONCOLOGY, 2016, 23 (03) : E221 - E227
  • [33] The impact of an enhanced recovery program (ERP) on the costs of colorectal surgery
    Khanijow, Anisha N.
    Wood, Lauren N.
    Xie, Rongbing
    Theiss, Lauren M.
    Hollis, Robert H.
    Hardiman, Karin M.
    Gunnells, Drew J.
    Kennedy, Gregory D.
    Morris, Melanie S.
    Cannon, Jamie A.
    Chu, Daniel, I
    AMERICAN JOURNAL OF SURGERY, 2021, 222 (01) : 186 - 192
  • [34] Enhanced recovery after surgery: A clinical review of implementation across multiple surgical subspecialties
    Smith, Thomas W., Jr.
    Wang, Xuanji
    Singer, Marc A.
    Godellas, Constantine, V
    Vaince, Faaiza T.
    AMERICAN JOURNAL OF SURGERY, 2020, 219 (03) : 530 - 534
  • [35] International validation of Enhanced Recovery After Surgery Society guidelines on enhanced recovery for gynecologic surgery
    Wijk, Lena
    Udumyan, Ruzan
    Pache, Basile
    Altman, Alon D.
    Williams, Laura L.
    Elias, Kevin M.
    McGee, Jake
    Wells, Tiffany
    Gramlich, Leah
    Holcomb, Kevin
    Achtari, Chahin
    Ljungqvist, Olle
    Dowdy, Sean C.
    Nelson, Gregg
    AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2019, 221 (03) : 237.e1 - 237.e11
  • [36] Development of an Enhanced Recovery After Surgery Program in Ventral Hernia
    Ewing, John K.
    Cassling, Kyle E.
    Hanneman, Michael A.
    Broucek, Joseph R.
    Raymond, Britany L.
    Pierce, Richard A.
    Geiger, Timothy M.
    Bradley, Joel F.
    AMERICAN SURGEON, 2024, 90 (09) : 2258 - 2264
  • [37] How to Start an Enhanced Recovery After Surgery Cardiac Program
    Jawitz, Oliver K.
    Bradford, William T.
    McConnell, Gina
    Engel, Jill
    Allender, Jessica Erin
    Williams, Judson B.
    CRITICAL CARE CLINICS, 2020, 36 (04) : 571 - 579
  • [38] Enhanced Recovery After Surgery program for elective abdominal surgery at three Victorian hospitals
    Thompson, E. G. E.
    Gower, S. T.
    Beilby, D. S.
    Sophie, S.
    Tomlinson, S.
    Guest, G. D.
    Richard, R.
    Serpell, J. S.
    Myles, P. S.
    ANAESTHESIA AND INTENSIVE CARE, 2012, 40 (03) : 450 - 459
  • [39] Impact of Compliance with an Enhanced Recovery After Surgery Program on the Outcomes Among Elderly Patients Undergoing Lumbar Fusion Surgery
    Li, Zhong-En
    Lu, Shi-Bao
    Kong, Chao
    Sun, Wen-Zhi
    Wang, Peng
    Zhang, Si-Tao
    CLINICAL INTERVENTIONS IN AGING, 2020, 15 : 2423 - 2430
  • [40] Thoracic paravertebral block compared to thoracic paravertebral block plus pectoral nerve block in reconstructive breast surgery
    Sopena-Zubiria, L. A.
    Fernandez-Mere, L. A.
    Valdes Arias, C.
    Munoz Gonzalez, F.
    Sanchez Lasheras, J.
    Ibanez Fernandez, C.
    REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION, 2012, 59 (01): : 12 - 17
12345