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
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