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Propose to evaluate efficacy of association between US guide parasternal block and pectorals nerves block (PECS) as anesthetic option for breast surgery (medial quadrantectomy and simple mastectomy).
All patients undergoing medial quadrantectomy and simple mastectomy in 6 months period will be observed.
All patients receive: US guide parasternal block at T4 and T6 space with 6ml of ropivacaine 0,75% and PECS type 2 block performed with 24ml of ropivacaine 0,75%.
During surgery patients receive light sedation with continuous infusion of propofol
Will be observed:
Additional local anesthetic infiltration from surgeon. Pain at rest and during movement quantified as Numerical Rating Scores (0-10) during the first 12 hours postoperatively.
Eventual side effects such as nausea/vomiting.
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