We investigated the efficacy of ultrasound-guided pectoral nerves (PECS) block for modified radical mastectomy surgery retrospectively. Methods: We measured that pain scores and the use of additional analgesic drugs w...We investigated the efficacy of ultrasound-guided pectoral nerves (PECS) block for modified radical mastectomy surgery retrospectively. Methods: We measured that pain scores and the use of additional analgesic drugs were recorded in the postoperative care unit within 24 hours after the operation. Postoperative complications (i.e., nausea and vomiting) were noted. Results: Patients who received the PECS block under general anesthesia (PECS group) reported lower visual analog scale pain scores at 0, 1, 2, 4, 6, 12, 24 hours after the operation than patients who did not receive PECS block under general anesthesia (control group). Moreover, the use of additional analgesic drugs during the first 24 hours after surgery was lower in the PECS group than in the control group. While in the postoperative care unit, the PECS group had less nausea and vomiting than the control group. Conclusion: The PECS block provides effective postoperative analgesia within the first 24 hours after breast cancer surgery.展开更多
Background: Pectoral nerves (PECS) block has been reported to be effective for a perioperative analgesia for breast cancer surgery. In addition, we may consider that the PECS block is also effective for motor function...Background: Pectoral nerves (PECS) block has been reported to be effective for a perioperative analgesia for breast cancer surgery. In addition, we may consider that the PECS block is also effective for motor function in postoperative period. Therefore, we investigated the effect of PECS block for motor function in postoperative period. Methods: This study selected the patients performed the breast cancer surgery between April and September, 2015. The study surveyed the difficulty of movement of the upper limbs at postoperative day 5 (D5) and postoperative month 6 (M6) by performing telephone survey. We counted the number of patients who complained of the difficulty of movement of the upper limbs. All results were compared using the chi- squared test. P < 0.05 was considered statistically significant. Results: 93 patients received only general anesthesia (G group). 85 patients received PECS block with general anesthesia (P group). The number of the P group at D5 was 2 patients. On the other hand, the number of the G group was 15 patients (P = 0.042). In the same way, the number of the P group M6 was no patient. On the other hand, the number of the G group was 10 patients (P = 0.043). Conclusion: A PECS block is effective for motor function recovery in the early postoperative period after breast cancer surgery.展开更多
文摘We investigated the efficacy of ultrasound-guided pectoral nerves (PECS) block for modified radical mastectomy surgery retrospectively. Methods: We measured that pain scores and the use of additional analgesic drugs were recorded in the postoperative care unit within 24 hours after the operation. Postoperative complications (i.e., nausea and vomiting) were noted. Results: Patients who received the PECS block under general anesthesia (PECS group) reported lower visual analog scale pain scores at 0, 1, 2, 4, 6, 12, 24 hours after the operation than patients who did not receive PECS block under general anesthesia (control group). Moreover, the use of additional analgesic drugs during the first 24 hours after surgery was lower in the PECS group than in the control group. While in the postoperative care unit, the PECS group had less nausea and vomiting than the control group. Conclusion: The PECS block provides effective postoperative analgesia within the first 24 hours after breast cancer surgery.
文摘Background: Pectoral nerves (PECS) block has been reported to be effective for a perioperative analgesia for breast cancer surgery. In addition, we may consider that the PECS block is also effective for motor function in postoperative period. Therefore, we investigated the effect of PECS block for motor function in postoperative period. Methods: This study selected the patients performed the breast cancer surgery between April and September, 2015. The study surveyed the difficulty of movement of the upper limbs at postoperative day 5 (D5) and postoperative month 6 (M6) by performing telephone survey. We counted the number of patients who complained of the difficulty of movement of the upper limbs. All results were compared using the chi- squared test. P < 0.05 was considered statistically significant. Results: 93 patients received only general anesthesia (G group). 85 patients received PECS block with general anesthesia (P group). The number of the P group at D5 was 2 patients. On the other hand, the number of the G group was 15 patients (P = 0.042). In the same way, the number of the P group M6 was no patient. On the other hand, the number of the G group was 10 patients (P = 0.043). Conclusion: A PECS block is effective for motor function recovery in the early postoperative period after breast cancer surgery.