Analgesic effect of the bi-level injection erector spinae plane block after breast surgery: A randomized controlled trial.

Analgesic effect of the bi-level injection erector spinae plane block after breast surgery: A randomized controlled trial. Agri. 2019 Jul;31(3):132-137 Authors: Aksu C, Kuş A, Yörükoğlu HU, Tor Kılıç C, Gürkan Y Abstract OBJECTIVES: Due to the complex breast innervation, postoperative analgesia after breast surgery is a challenge for the anesthesiologists. The erector spinae plane block (ESPB) is a newly defined promising technique for this purpose. The main purpose of this study was to evaluate the analgesic efficacy of the ultrasound-guided ESPB in breast surgery, monitoring its effect on the postoperative opioid consumption. METHODS: Fifty female patients, who were scheduled to undergo elective breast surgery, with the American Society of Anesthesiology physical score I-II, and aged between 25 and 70 years, were included into the study. Patients were randomized into two groups, as the ESPB and the control group. All patients in the ESPB group received a bi-level (T2-T4) ultrasound-guided ESPB with 20 ml 0.25 % bupivacaine (10 ml for each level) preoperatively. An intravenous patient-controlled analgesia device for the postoperative analgesia was given to all patients. The numeric rating scale (NRS) scores for pain and postoperative morphine consumptions were recorded at the 1st, 6th, 12th, and 24th hour postoperatively. RESULTS: Postoperative morphine consumption was significantly lower in the ESPB group compared to th...
Source: Agri Dergisi - Category: Anesthesiology Tags: Agri Source Type: research

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AbstractPurposeBreast surgery is an exceedingly common procedure and associated with an increased incidence of acute and chronic pain. Preemptive regional anesthesia techniques may improve postoperative analgesia for patients undergoing breast surgery. The aim of this study was to evaluate the effect of preoperative bilateral serratus plane block on postoperative opioid consumption in patients undergoing breast reduction surgery.MethodsAfter ethical board approval, 40 patients undergoing breast reduction surgery were randomized into 2 groups: control group (Group C,n = 20) and serratus plane block group (Grou...
Source: Aesthetic Plastic Surgery - Category: Cosmetic Surgery Source Type: research
We describe a case of posttraumatic chronic intercostal neuralgia, in which successful pain relief was achieved via repeated injections of local anesthetic and steroid combinations in the serratus anterior plane under ultrasonographic guidance. This novel technique is easy to administer, reliable, and warrants further investigation with regard to its use for rehabilitation of patients who are experiencing posttraumatic chronic neuropathies of the chest wall.
Source: American Journal of Physical Medicine and Rehabilitation - Category: Rehabilitation Tags: Case Report 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
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
Conclusion: US-guided ESP block when given prior to MRM surgery provided effective postoperative analgesia. CTRI registration no. - CTRI/2018/03/012712 registered in the clinical trial registry, India.
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
AbstractBackgroundPECS type-1 block, a US-guided superficial interfacial block, provides effective analgesia after breast surgery. Aesthetic breast augmentation is one of the most common surgical procedures in plastic surgery. Subpectoral prostheses cause severe pain. The aim of this study was to investigate the effect of different volumes of the solution on the efficacy of PECS type-I block for postoperative analgesia after breast augmentation surgery.MethodsNinety ASA status I –II female patients aged between 18 and 65 years who scheduled breast augmentation surgery under general anesthesia were included in th...
Source: Aesthetic Plastic Surgery - Category: Cosmetic Surgery Source Type: research
Praveen Talawar, Ajeet Kumar, Debesh Bhoi, Akhil SinghSaudi Journal of Anaesthesia 2019 13(1):72-74 Postoperative pain after breast surgery is difficult to manage owing to its complex innervation. Recently, erector spinae plane (ESP) block, an interfacial block, has been described to provide pain relief after thoracic and abdominal surgeries, multiple rib fractures, and neuropathic thoracic pain. Local anesthetic injected in the erector spinae muscle sheath at the level of the 5th thoracic transverse process is distributed cranially and caudally along the sheath, and to the paravertebral space through apertures in the ant...
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Conclusions The MPN branches that innervate the lower part of the pectoralis major muscle are asymmetrical and variable in location and length; all located in a triangular area easily defined by sonographic landmarks, lateral to the TAA.
Source: Regional Anesthesia and Pain Medicine - Category: Anesthesiology Tags: REGIONAL ANESTHESIA AND ACUTE PAIN: ORIGINAL ARTICLES Source Type: research
We described the first ultrasound-guided erector spinae plane block that provided complete surgical anesthesia for a right-sided mastectomy and axillary dissection in a patient with high cardiovascular risk. The block targeted at T5, and 20 mL of 0.5% ropivacaine with epinephrine 1:200,000 and dexamethasone 8 mg was administered. Complete anesthesia was accomplished in 20 minutes, and the patient received propofol infusion for sedation. The patient reported no pain and remained hemodynamically stable throughout the 2.5-hour procedure. At the end of the surgery, patient received morphine 2 mg and dipyrone 2 g intrave...
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports Source Type: research
Condition:   Postoperative Pain Interventions:   Drug: Local anesthetic;   Drug: Hyaluronidase Sponsor:   Assiut University Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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