Pecs II Block and PaB Could be an Alternative in Breast Surgery

Emiliano Petrucci

Status: Completed

Conditions: Breast Cancer

Treatments: Procedure: Pecs II and parasternal blocks

Study type: Observational

Funder types: Other

Identifiers

NCT02865265

0109060/16

Details and patient eligibility

About

The association between ultrasound-guided Pecs II block and parasternal block can represent a valid alternative in the management of acute and postoperative pain syndrome after quadrantectomy with or without axillary dissection.

Full description

The combination of Pecs II block and PaB provides good management of postoperative pain and can be considered a viable alternative to common anesthetic procedures performed for breast cancer surgery.

Enrollment: 180 patients

Sex: Female

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 18-75 years of age;
• American Society of Anesthesiologists (ASA) physical status I-III,
• patients scheduled for quadrantectomy with or without axillary dissection

Exclusion criteria

• pregnancy;
• body mass index (BMI) >35;
• allergy to local anesthetics;
• skeletal or muscle abnormalities of the chest wall;
• presence of primary or secondary neurological diseases;
• presence of psychiatric diseases;
• history of chronic pain or neuropathic disorders;
• history of drug abuse;
• state of sepsis;
• infection
• tumors of the skin on the chest;
• primary;
• secondary coagulopathies

Trial design

180 participants in 1 patient group

Pecs II and parasternal blocks

Description:

Pecs II block was performed at the level of the fourth rib in the fascial plane between the minor pectoral and serratus anterior muscles, and 20 ml of 0.5% levobupivacaine solution were injected. An ultrasound-guided ipsilateral PaB was performed via two separate injections of 4 ml of 0.375% levobupivacaine at the level of the 2nd and 4th intercostal space underneath the external intercostal membrane between the major pectoral and intercostal muscles close to the surface of the 2nd and 4th rib.

Treatment:

Procedure: Pecs II and parasternal blocks