Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
July 1, 2018The Egyptian Journal of Hospital MedicineOpen Access

Comparative study between Ultrasound guided Pectoral nerves block and Thoracic epidural as analgesia in breast surgeries

View Full Paper
Ask AI
Bookmark
Share

Key result

Pectoral nerve block provided effective intraoperative and postoperative pain control in breast surgeries, with its superiority over thoracic epidural depending on the type and extent of surgery.

Why the study?

Does Ultrasound guided Pectoral nerves block improve analgesic effectiveness and safety compared to Thoracic epidural in female patients undergoing unilateral breast surgery?

Population

60 female patients ASA I-II, ages 18-65 years old scheduled for unilateral breast surgery

Comparison

Ultrasound guided Pectoral nerves block vs Thoracic epidural (TE)

Design

RCT, allocated randomly into two groups

Authors

MAMagdy Ahmed Abdel-Mo`menSESaad Eldein Mahmoud ElkhateebHAHesham Said Abdel-Ra`oof

Discussion

Loading...

Member takes

Overview

Supports Pecs block as safer alternative to thoracic epidural for breast surgery analgesia; extends RCT evidence on surgery-specific regional technique selection.

Study Design

Type

RCT (n=60)

Randomization

Randomly allocated

Structured PICO

Does Ultrasound guided Pectoral nerves block improve analgesic effectiveness and safety compared to Thoracic epidural in female patients undergoing unilateral breast surgery?

P
Population
60 female patients (ASA I-II) aged 18-65 years scheduled for unilateral breast surgery.
I
Intervention
Ultrasound guided Pectoral nerves block (Pecs II block)
C
Comparator
Thoracic epidural (TE)
O
Outcome
Analgesic effectiveness and safety (intensity of post-operative pain, post-operative analgesic requirement, time needed for first request of analgesia, PONV, hemodynamic stability)patient reported

Pecs block is a safe and effective alternative to thoracic epidural for intraoperative and postoperative pain control in breast surgeries, particularly those involving the axilla.

Cite This Study

Abdel-Mo`men et al. (2018) conducted an RCT in Unilateral breast surgery (n=60). Pectoral (Pecs II) block vs. Thoracic epidural was evaluated on Analgesic effectiveness and safety. Pectoral nerve block provided effective intraoperative and postoperative pain control in breast surgeries, with its superiority over thoracic epidural depending on the type and extent of surgery.

synapsesocial.com/papers/6a82daed8aa2f088808d692bhttps://doi.org/10.21608/ejhm.2018.11167
View Full Paper
Ask AI
Bookmark
Share

Also Consider

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

  1. 1Comparative study between ultrasound guided modified pectoral nerve block versus erector spinae block in breast surgeries-prospective randomised comparative study2023 · 1 citations
  2. 2Pectoral Nerves Blocks for Post-Operative Analgesia after BreastCancer Surgery2021 · 2 citations
  3. 3Comparison of ultrasonography-guided pectoral nerve block with patient-controlled analgesia for breast surgery patients2021
  4. 4Ultrasound Guided Pectoral Nerve Block Versus Ultrasound Guided Thoracic Paravertebral Block to Supplement General Anesthesia in Simple Mastectomy2020
  5. 5COMPARISON OF POSTOPERATIVE ANALGESIC EFFECT OF ULTRASOUND GUIDED PECTORAL VS ERECTOR SPINAE BLOCK IN PATIENTS UNDERGOING MODIFIED RADICAL MASTECTOMY2024