EVALUATION OF EFFICACY OF COMBINED ULTRASOUND GUIDED PECTORAL NERVE BLOCK TYPE 2 WITH ROPIVACAINE AND GENERAL ANAESTHESIA OVER PLAIN GENERAL ANAESTHESIA IN CANCER RELATED BREAST SURGERIES
European Journal of Molecular & Clinical Medicine,
2023, Volume 10, Issue 1, Pages 3799-3808
AbstractBreast cancer is the most common cancer among the woman and is on rise. Surgery is one of main stays of treatment of breast cancer. Pectoral nerve block type 2 is an extension of type 1 that requires additional injection of local anaesthetic between pectoralis minor and serratus anterior muscle.
MATERIALS AND METHODS
This Prospective Randomized Controlled study wad conducted between January and June 2020. 60 Patients undergoing Mastectomy under General Anaesthesia with an ASA of I or II were taken. In Group P, 0.4ml/kg of the drug is deposited above the serratus anterior muscle.
OBSERVATIONS AND RESULTS
The difference in baseline mean systolic and diastolic blood pressures of two groups was statistically not significant. Time of first rescue analgesia is significantly higher in group P (5.89±2.25 hours) than group C (2.08±0.7 hours). Pains scores are significantly higher in group C compared to group P at all times after surgery from 2 to 18 hours postoperatively. The patients who received block used significantly less morphine than the control population. None of the patients in group P experienced block related complications.
The perioperative anaesthetic care for those undergoing mastectomy surgery is general anaesthesia with a multimodal approach for analgesics such as opioids, paracetamol and NSAIDs. In our study postoperative Pains scores are significantly higher in group C compared to group P at all times after surgery, similar to other studies.
Our study will certainly support the fast-evolving thinking in the field of perioperative medicine, regional anaesthesia and pain management. The results of our study is supportive, in proving, the two-level PECS block is safe, effective, reliable, easy to perform, decreases morphine consumption, improves postoperative pain, provides patient satisfaction, in breast cancer related surgery, thereby, achieving the primary outcome
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