Efficacy of Pectoral Nerve Block for Breast Reduction Surgery

Antalya Training and Research Hospital

Status: Completed

Conditions: Postoperative Pain; Nerve Blocks; Breast Surgery

Treatments: Procedure: Control group; Procedure: PECS group

Study type: Observational

Funder types: Other

Identifiers

NCT03857386

10/09

Details and patient eligibility

About

The purpose of the study is to evaluate the efficacy of PECS block applied to patients undergoing bilateral breast reduction surgery on postoperative analgesia compared to local infiltration anesthesia.

Full description

Pectoral nerve block (PECS block) has been developed as an alternative to thoracic paravertebral and/or thoracic epidural blocks in recent years. It is frequently applied for postoperative analgesia especially in breast cancer surgery and subpectoral breast prosthesis.

Enrollment: 53 patients

Sex: Female

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiology (ASA) I-II
• body mass index (BMI) ≤40 kg/m2
• elective bilateral breast reduction surgery

Exclusion criteria

• declining to give written informed consent
• ASA III and above
• under 18 years of age or over 65 years of age
• history of allergy against to the local anesthetics,
• controendication of peripheral block or local anesthetic infiltration (local infection, coagulopathy, etc.)
• history of breast surgery
• treatment due to psychiatric disorder
• history of treatment for a chronic pain
• history of nerve blocks in order to treat postoperative pain

Trial design

53 participants in 2 patient groups

PECS group

Description:

Preoperative bilateral PECS I + PECS II Pecs block performed by anaesthetist using ultrasound guidance in plane approach

Treatment:

Procedure: PECS group

Control group

Description:

Bilateral local anesthesia infiltration Local infiltration anesthesia performed by surgeon during the operation

Treatment:

Procedure: Control group