Anesthetic Efficacy of PECS II Block and Parasternal Block

Anesthetic Efficacy of PECS II Block and Parasternal Block for Quadrantectomy With or Without Axillary Dissection

The study evaluate the anesthetic efficacy of Pecs II block II and parasternal block during quadrantectomy with or without axillary dissection, in breast cancer surgery

All patients receive Pecs II block and parasternal block, under ultrasound guidance. Pecs II block, performed at the 4th rib level, and parasternal block performed at the level of the 2nd and 4th intercostal space level. Data on the anesthesia, side effects and pain, will be recorded

Inclusion Criteria:

• patients who need of quadrantectomy with or without axillary dissection
• ASA I-III patients
• age between 18 and 75 years
• filled informed consent

Exclusion Criteria:

• pregnant women
• obesity (BMI > 39,99)
• radical mastectomy
• ASA IV patients
• chest wall abnormalities
• neurological disorders
• septic status
• chest skin infections
• coagulopathies