Direct versus Ultrasound Guided PECS Block Effect on Controlling Postmastectomy Pain: A Randomized Single-Blind Trial | ||||
| Benha Medical Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 20 May 2024 PDF (352.48 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/bmfj.2024.244677.1938 | ||||
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| Authors | ||||
mohamed said Elmeligy   1; Neveen Kohaf 2; Hany Bauiomy 3; Ahmed Mostafa Sakaya 4
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| 1anesthesia department ,benha university hospital, benha faculty of medicine | ||||
| 2Clinical Pharmacy Department, Faculty of Pharmacy (Girls), Al-Azhar University, Cairo | ||||
| 3Department of anesthesia and ICU-benha university hospital | ||||
| 4Department of anesthesia and ICU- benha university hospital | ||||
| Abstract | ||||
| Background: Persistent post-mastectomy pain has serious physical and psychological effects on the lives of patients. The PECS block combines motor and sensory nerve blocks and is distinct from sympathetic block. This study aimed to compare intraoperative with preemptive ultrasound guided (US guided) PECS block effect on controlling acute postmastectomy pain. Methods: Sixty cases arranged for elective simple mastectomy were involved in this randomized, single-blind, controlled trial. Cases were randomized equally into three groups. Group C (the control group): received no block, Group D (direct PECS group): received direct pecs block by surgeon after closure of pectoralis muscle under direct vision and before skin closure and Group U (US guided PECS group): received US guided PECS block done after induction and before skin incision. Results: Morphine consumption in 1st 24h postoperative was significantly lower in U group compared to C and D groups (P value | ||||
| Keywords | ||||
| Direct PECS; Ultrasound Guided PECS; Mastectomy; Analgesia | ||||
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