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
  • [41] Sustainability of an Enhanced Recovery After Surgery Program (ERAS) in Colonic Surgery
    Gillissen, F.
    Ament, S. M. C.
    Maessen, J. M. C.
    Dejong, C. H. C.
    Dirksen, C. D.
    van der Weijden, T.
    von Meyenfeldt, M. F.
    WORLD JOURNAL OF SURGERY, 2015, 39 (02) : 526 - 533
  • [42] 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
  • [43] A Decalogue on Enhanced Recovery After Breast Augmentation Surgery (ERABAS)
    Seren, Juan. M.
    Cervantes, Andre
    Fontbona, Montserrat
    Cortinas, Fabian
    Abrile, Gustavo
    Mayer, Horacio F.
    AESTHETIC PLASTIC SURGERY, 2025, 49 (01) : 198 - 204
  • [44] Impact of Enhanced Recovery Program on Colorectal Cancer Surgery
    Lohsiriwat, Varut
    ASIAN PACIFIC JOURNAL OF CANCER PREVENTION, 2014, 15 (08) : 3825 - 3828
  • [45] Reduction of Postoperative Opioid Use After Elective Spine and Peripheral Nerve Surgery Using an Enhanced Recovery After Surgery Program
    Flanders, Tracy M.
    Ifrach, Joseph
    Sinha, Saurabh
    Joshi, Disha S.
    Ozturk, Ali K.
    Malhotra, Neil R.
    Pessoa, Rachel
    Kallan, Michael J.
    Fleisher, Lee A.
    Ashburn, Michael A.
    Maloney, Eileen
    Welch, William C.
    Ali, Zarina S.
    PAIN MEDICINE, 2020, 21 (12) : 3283 - 3291
  • [46] Enhanced recovery after surgery: Pain management
    Nimmo, Susan M.
    Foo, Irwin T. H.
    Paterson, Hugh M.
    JOURNAL OF SURGICAL ONCOLOGY, 2017, 116 (05) : 583 - 591
  • [47] Enhanced Recovery for Breast Reconstruction Surgery
    Elhassan, Amir
    Ahmed, Ahmed
    Awad, Hamdy
    Humeidan, Michelle
    Urman, Richard D.
    Labrie-Brown, Carmen L.
    Cornett, Elyse M.
    Kaye, Alan David
    CURRENT PAIN AND HEADACHE REPORTS, 2019, 23 (04)
  • [48] Ultrasound guided nerve block for breast surgery
    Dieguez, P.
    Casas, P.
    Lopez, S.
    Fajardo, M.
    REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION, 2016, 63 (03): : 159 - 167
  • [49] Enhanced recovery after surgery in colorectal surgery: Impact of protocol adherence on patient outcomes
    Arrick, Lindsey
    Mayson, Kelly
    Hong, Tracey
    Warnock, Garth
    JOURNAL OF CLINICAL ANESTHESIA, 2019, 55 : 7 - 12
  • [50] Enhanced Recovery after Surgery Pathway for Microsurgical Breast Reconstruction: A Systematic Review and Meta-Analysis
    Sebai, Mohamad E.
    Siotos, Charalampos
    Payne, Rachael M.
    Stone, Jill P.
    Seal, Stella M.
    Habibi, Mehran
    Broderick, Kristen
    Sacks, Justin M.
    Manahan, Michele A.
    Rosson, Gedge D.
    PLASTIC AND RECONSTRUCTIVE SURGERY, 2019, 143 (03) : 655 - 666
12345