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BILATERAL PECS I AND DEEP SERRATUS ANTERIOR PLANE BLOCK FOR RARE MALE CARCINOMA BREAST
Author(s): ,
D'souza, N.*
Affiliations:
Ruby Hall Clinic, Anaesthesia, Pune, India
,
Kanitkar, G.
Affiliations:
Ruby Hall Clinic, Oncosurgery, Pune, India
,
Sampat, J.
Affiliations:
Ruby Hall Clinic, Anaesthesia, Pune, India
Prachi, S.
Affiliations:
Ruby Hall Clinic, Anaesthesia, Pune, India
ESRA Academy. Dsouza N. Sep 13, 2017; 190903
Topic: REGIONAL ANAESTHESIA TECHNIQUES - BLOCK PERFORMANCE
Disclosure(s): No disclosure
Dr. Nita Dsouza
Dr. Nita Dsouza

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Abstract
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Background and Aims:

Background:Pain relief is essential in post mastectomy patients. Reviewing literature, many drugs such as NSAIDS, anti-convulsants, anti-depressants, opioids and gabapentin have been used with limited success. Inadequate pain relief as an important factor in the development of post mastectomy pain syndromes. Male breast cancer accounts for less than 1% of breast cancers. 

Methods:

Patient was given bilateral PEC1-10ml and deep Serratus anterior block 25ml 0f 0.2% ropivacaine in combinations with Inj Tramadol 75mg i,v. and Inj Paracetamol 1gm i.v. after administering general anaesthesia.

Results:

Bilateral PEC1 and deep serratus anterior plane block with 0.2% Ropivacaine provided analgesia for 25 hours. VAS 0/1/2 at 12 hours, 20 hours and 25 hours respectively. Surgical field is also clear.

Conclusions:

Both blocks facilitated early recovery with good surgical field and rendered patient pain free and ambulatory within hours of surgery.

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