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June 1, 2024QJM

A Comparative Study between Ultrasound Guided Pectoral Nerve Block Type II versus Intravenous Patient Controlled Analgesia for Intra-Operative and Post-Operative Analgesia in Patients Undergoing Modified Radical Mastectomy

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Authors

EAEman Adel AliHAHala Gomaa Salama AwadASAyman Ibraheem Tharwat Sayed

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Overview

Randomized clinical trial demonstrates ultrasound-guided pectoral nerve block reduces early postoperative pain and side effects in mastectomy patients, indicating effective regional analgesia.

Key Points

  • Pectoral nerve block provides equivalent post-operative analgesia to intravenous morphine while reducing nausea and vomiting after modified radical mastectomy.
  • In this randomized clinical trial of 50 patients, visual analog scale pain scores were significantly lower in the pectoral nerve block group during early hours.
  • Ultrasound-guided regional anaesthesia effectively limits systemic opioid requirements, though patient-controlled analgesia remains less technically demanding.

Cite This Study

Ali et al. (2024) studied this question.

synapsesocial.com/papers/68e673f0b6db6435875fe2f6https://doi.org/10.1093/qjmed/hcae070.040
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Comparative Study between Pectoral Nerve Block Type-II (PECS II) and Serratus Anterior Plane Block (SAPB) in Postoperative Analgesic Efficacy in Modified Radical Mastectomy2024 · 1 citations
  2. 2Evaluation of ultrasound guided pectoralis nerve block for post-operative analgesia in patients undergoing modified radical mastectomy under general anaesthesia2024
  3. 3Comparative Study for Efficacy of Ultrasound Guided Pectoral Nerve Block versus Erector Spinae Plane Block for Post Operative Analgesia in Modified Radical Mastectomy2025
  4. 4Addition of PECS Block to Multimodal Analgesia for Postoperative Analgesia after Breast Cancer Surgery: A Randomized Clinical Trial2024
  5. 5Comparative Study between Modified Pectoral Nerve Block versus Serratus Block for Analgesia For Modified Radical Mastectomy2024