Efficacy of Pectoral Nerve Block for Breast Reduction Surgery

Antalya Training and Research Hospital53 enrolled

Overview

The purpose of the study is to evaluate the efficacy of PECS block applied to patients undergoing bilateral breast reduction surgery on postoperative analgesia compared to local infiltration anesthesia.

Pectoral nerve block (PECS block) has been developed as an alternative to thoracic paravertebral and/or thoracic epidural blocks in recent years. It is frequently applied for postoperative analgesia especially in breast cancer surgery and subpectoral breast prosthesis.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Nerve Blocks Breast Surgery Postoperative Pain

Interventions

PECS groupPROCEDURE

Pecs block performed using ultrasound guidance

Control groupPROCEDURE

Local infiltration anesthesia performed during the operation

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * American Society of Anesthesiology (ASA) I-II * body mass index (BMI) ≤40 kg/m2 * elective bilateral breast reduction surgery Exclusion Criteria: * declining to give written informed consent * ASA III and above * under 18 years of age or over 65 years of age * history of allergy against to the local anesthetics, * controendication of peripheral block or local anesthetic infiltration (local infection, coagulopathy, etc.) * history of breast surgery * treatment due to psychiatric disorder * history of treatment for a chronic pain * history of nerve blocks in order to treat postoperative pain

Locations (1)

Antalya Training and Research Hospital, Department of Anesthesiology and Reanimation

Antalya, Turkey (Türkiye)

Outcomes

Primary Outcomes

postoperative visual analog scale (VAS) score

Postoperative pain assessment will be performed using the VAS score (VAS 0 = no pain, VAS 10 = most severe pain possible). The VAS scores will be recorded at postoperative 0, 1, 3, 6, 9, and 12 hours.

Time frame: postoperative 0, 1, 3, 6, 9, and 12 hours

Secondary Outcomes

analgesia consumption

postoperative

Time frame: 12 hours

length of hospital

recorded at the following time after surgery

Time frame: 4 days

analgesia consumption

intraoperative

Time frame: during the surgery

Data from ClinicalTrials.gov

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