ICNBs for Post-op Pain in Breast Surgery

Analyzing the Efficacy of Peri-operative Intercostal Nerve Blocks ICNB for Acute Postoperative Pain Control in Reconstructive Breast Surgery and Mammoplasty

The authors will conduct this study to analyze the effectiveness of peri-operative intercostal nerve blocks (ICNBs) in reducing acute postoperative pain after reconstructive breast surgery and mammoplasty and how it affects the length of hospital stay.

Inclusion Criteria:

• American Society of Anesthesiologists Classification (ASA Class) 3 and below.
• Bilateral or unilateral breast surgery including cancer extirpation, reconstruction (implant and expander), oncoplastic surgery (<200 gm), breast augmentation and breast reduction, etc.

Exclusion Criteria:

• Patients who refuse local anesthesia.
• Patients who cannot receive local anesthesia.
• Below the age of 20 and above the age of 70.
• Patients requiring reoperation due to complications of mammoplasty or another breast surgery.
• Poorly controlled diabetics, uncontrolled hypertension, heart disease, arrhythmias, diagnosed with bipolar and generalized anxiety disorders.