ESRA Academy. Skalistira M. Sep 8, 2016; 138618; 0504 Topic: Trunk Blocks
Dr. Maria Skalistira
Dr. Maria Skalistira

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Background and Aims:

The pectoral nerves (Pecs) block I and II are effective for breast surgery. This technique caused block at pectoral, intercostobrachial, third to sixth intercostals, and the long thoracic nerves.

In this study we compare the quality of analgesia after modified radical mastectomy surgery using general anesthesia and Pecs blocks versus general anesthesia aloneMethods:

Eighteen adults female patients with ASA I-III scheduled for elective unilateral modified radical mastectomy. All patients received general anesthesia. The patients were randomly allocated to receive either general anesthesia plus Pecs block (Pecs group, n =7) or general anesthesia alone (control group, n =8).


Patients in the Pecs group were observed statistically significant lower visual analog scale pain scores than in the control group. Postoperative morphine consumption in the Pecs group was lower in the first 12 hours after surgery than in the control group. In the postanesthesia care unit, nausea and vomiting, sedation scores and hospital stays were shorter in the Pecs group than in the control group were lower in the Pecs group compared with the control group.


The combined Pecs I and II block is an easy technique and seems that produces good analgesia for radical breast surgery.

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