Transversus Thoracic Muscle Plane Block for Breast Surgery

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Source: The Clinical Journal of Pain - Category: Anesthesiology Tags: Letters to the Editor Source Type: research

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Conclusions Breast reduction reduces or removes disease-associated pain. It improves or normalizes perceived health and psychosocial self-esteem in slightly obese women or women of normal weight with preoperative breast volumes around 1000 mL. Women with higher preoperative breast volumes and longer sternal notch-to-nipple distances appear to be more satisfied with the cosmetic result postoperatively.
Source: Annals of Plastic Surgery - Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research
Rakhi Khemka, Arunangshu Chakrborty, Sanjit Agrawal, Rosina AhmedIndian Journal of Anaesthesia 2019 63(7):530-536 Background and Aims: Pecs block and its variations provides perioperative analgesia, reduce PONV and other opioid related side effects. We hypothesized that COMIBPES block in addition to general anaesthesia will provide better postoperative analgesia when compared to general anaesthesia alone in breast cancer surgery patients. Methods: After obtaining permission from the institutional review board and registering the trial with Clinical Trials Registry of India (CTRI), we conducted a double blinded randomized ...
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
l;koğlu UH Abstract STUDY OBJECTIVE: Erector spinae plane (ESP) block is a novel regional anesthesia technique and gaining importance for postoperative pain management. Since it was first described, the clinicians wonder if this new simple technique can replace paravertebral block (PVB). We aimed to compare the postoperative analgesic effect of ESP block and PVB with a control group in breast surgeries. DESIGN: Randomized controlled trial. SETTING: Operating room. PATIENTS: Seventy-five ASA I-II patients aged 25-65, who were scheduled to go under elective unilateral breast surgery for breast cancer...
Source: Clinical Genitourinary Cancer - Category: Cancer & Oncology Authors: Tags: J Clin Anesth Source Type: research
Authors: Hong B, Bang S, Chung W, Yoo S, Chung J, Kim S Abstract Background: Although case reports have suggested that the erector spinae plane block (ESPB) may help analgesia for patients after breast surgery, no study to date has assessed its effectiveness. This retrospective observational study analyzed the analgesic effects of the ESPB after total mastectomy. Methods: Forty-eight patients were divided into an ESPB group (n = 20) and a control group (n = 28). Twenty patients in the control group were selected by their propensity score matching the twenty patients in the ESPB group. Patients in the ESPB group...
Source: Korean Journal of Pain - Category: Anesthesiology Tags: Korean J Pain Source Type: research
CONCLUSION: Local and regional anesthetic techniques and intravenous lidocaine lower the incidence of CPSP after certain types of operative procedures. The intravenous administration of lidocaine to prevent CPSP is off label and requires the patient's informed consent. The evidence for the measures presented here is of low to medium quality. PMID: 31130157 [PubMed - in process]
Source: Deutsches Arzteblatt International - Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
Background Breast reduction is one of the most frequently performed procedures in plastic surgery practice. Patients often undergo this procedure for not only aesthetic but also functional reasons because breast hypertrophy may hinder daily activities because of chronic spinal pain. Breast reduction has a documented impact on quality of life. However, there are only a few reports on the influence of breast reduction on sexuality. Objective The aim of the study was to analyze the impact of breast reduction on female sexual dysfunction and on sexual well-being. Methods Ours was a pilot cross-sectional 2-cohort study,...
Source: Annals of Plastic Surgery - Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research
Conclusion: Filtered 99mTc labeled-Sulfur Colloid use in lymphoscintigraphy is an acceptable alternative to 99mTc labeled-Tilmanocept for SLN detection in breast cancer, based on filtered 99mTc labeled-Sulfur Colloid's similar intraoperative SLN identification and comparative pain scores. PMID: 31019032 [PubMed - as supplied by publisher]
Source: Journal of Nuclear Medicine Technology - Category: Nuclear Medicine Tags: J Nucl Med Technol Source Type: research
Authors: Rothenberg KA, Huyser MR, Edquilang JK, Cureton EL, Kwan RO, Peng PD, Svahn JD, Shim V Abstract CONTEXT: Surgeons write 1.8% of all prescriptions and 9.8% of all opioid prescriptions. Even small doses prescribed for short-term use can lead to abuse; thus, surgeons are uniquely able to combat the opioid epidemic by changing prescribing practices. As part of a department wide quality improvement project, we initiated a nonopioid protocol for all patients undergoing ambulatory breast surgery. OBJECTIVE: To determine the feasibility of a nonopioid protocol for patients undergoing ambulatory breast surgery ...
Source: The Permanente journal - Category: General Medicine Tags: Perm J Source Type: research
Acute postoperative pain is a predictable response and when left untreated can lead to chronic pain, prolonged rehabilitation, and other complications after breast surgery. Pectoral nerve block (PECSB) has been recently reported as an analgesic method for BCS. In recent literature, it is evident that PECSB significantly reduced intraoperative opioid usage, postoperative pain, PONV, and postoperative opioid requirements. Introduction of ultrasound in regional anesthesia practice influenced the practice and choice of blocks for any given surgery.
Source: The Journal of Pain - Category: Materials Science Authors: Source Type: research
AbstractPurpose of ReviewEnhanced recovery pathways are a well-described perioperative healthcare program involving evidence-based interventions. Enhanced recovery is designed to standardize techniques such as drug selection and nerve blocks in order to speed recovery and reduce overall hospital costs.Recent FindingsA PubMed literature search was performed for articles that included the terms enhanced recovery and breast reconstruction surgery. The present investigation summarizes enhanced recovery literature related to breast surgery with a focus on breast reconstruction.SummaryEnhanced recovery considerations discussed i...
Source: Current Pain and Headache Reports - Category: Neurology Source Type: research
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