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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PECS group | Preoperative bilateral PECS I + PECS II Pecs block performed by anaesthetist using ultrasound guidance in plane approach |
| |
| Control group | Bilateral local anesthesia infiltration Local infiltration anesthesia performed by surgeon during the operation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PECS group | Procedure | Pecs block performed using ultrasound guidance |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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. | postoperative 0, 1, 3, 6, 9, and 12 hours |
| Measure | Description | Time Frame |
|---|---|---|
| analgesia consumption | postoperative | 12 hours |
| length of hospital | recorded at the following time after surgery | 4 days |
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Inclusion Criteria:
Exclusion Criteria:
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The study included patients with ASA I-II, 18-65 years old, with a BMI ≤ 40 kg/m2 and undergoing elective breast reduction operation under general anesthesia.
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| Name | Affiliation | Role |
|---|---|---|
| Arzu Karaveli | Netherlands: Ministry of Health, Welfare and Sports | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Antalya Training and Research Hospital, Department of Anesthesiology and Reanimation | Antalya | 07100 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22939099 | Background | Blanco R, Fajardo M, Parras Maldonado T. Ultrasound description of Pecs II (modified Pecs I): a novel approach to breast surgery. Rev Esp Anestesiol Reanim. 2012 Nov;59(9):470-5. doi: 10.1016/j.redar.2012.07.003. Epub 2012 Aug 29. |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D000765 | Anesthesia, Conduction |
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
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| Control group | Procedure | Local infiltration anesthesia performed during the operation |
|
|
| analgesia consumption | intraoperative | during the surgery |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
| D008722 | Methods |