Pain of breast surgery is due to chest wall scar and arm in some cases like carcinoma or due to nerve injury.It is neuropathic or nociceptive pain.Its severity is depending on the extent of surgery and the radiotherapy if needed. Previous studies proved that local nerve block procedures improved the immediate postoperative pain and decreased the incidence of postoperative pain chronicity . Also effective control of pain suppresses the surgical stress response minimizes the anaesthestic needs intraoperatively and decreases the opioid needs postoperatively . Pectoralis nerve(pecs) II block and erector spinae plane (ESP) block are novel procedures that may provide good intraoperative and postoperative analgesia in patients undergoing surgical treatment of gynecomastia.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
46
compare between :ultrasound guided Pectoralis nerve(pecs) II block or erector spinae plane (ESP) block in surgical treatment for gynecomastia patients under general anaesthesia.
Zagazig university
Zagazig, Egypt
intraoperative analgesia
measurement of intraoperative mean blood pressure (mmHg)
Time frame: 60-120 minuets
intraoperative analgesia
measurement of heart rate (beat /min)
Time frame: 60-120 minuets
intraoperative analgesia
measurement of bispectral index score
Time frame: 60-120 minuets
postoperative analgesia
evaluation of postoperative visual analogue scaleusing a ruler graded from 0 to 100 mm,where 0=no pain and 100=the worst imaginable pain measured in postanaesthesia care unit and every 6hours for 24 h postoperative.
Time frame: 24 hours
postoperative analgesia
time interval till first analgesic request (minuets)
Time frame: 24 hours
postoperative analgesia
total opioid consumption (mg)
Time frame: 24 hours
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