Evaluation of ultrasound guided pectoralis nerve block for post-operative analgesia in patients undergoing modified radical mastectomy under general anaesthesia

Madhusudan BN, Smitha A, Kumar GS, Jayaram S

Pdf Page Numbers :- 169-173

Madhusudan BN¹, Smitha A¹, Sheetal Kumar G¹ and Shruthi Jayaram^1,*

¹Department of Anaesthesiology, Hassan Institute of Medical Sciences, Krishnaraja Pura, Hassan, Karnataka 573201, India

*Corresponding author: Dr. Shruthi Jayaram, Associate Professor, Department of Anesthesiology, Hassan Institute of Medical Sciences, Krishnaraja Pura, Hassan, Karnataka 573201, India. Email: shruthijayaram08@gmail.com

Received 19 January 2024; Revised 12 March 2024; Accepted 20 March 2024; Published 29 March 2024

Citation: Madhusudan BN, Smitha A, Kumar GS, Jayaram S. Evaluation of ultrasound guided pectoralis nerve block for post-operative analgesia in patients undergoing modified radical mastectomy under general anaesthesia. J Med Sci Res. 2024; 12(2):169-173. DOI: http://dx.doi.org/10.17727/JMSR.2024/12-32

Copyright: © 2024 Madhusudan BN et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Background: Breast cancer is one of the most common malignancies found in women across the world requiring surgery. These surgeries lead to immense postoperative pain, which is traditionally managed with opioids and non-steroidal anti-inflammatory drugs (NSAIDs). The study aimed to compare the efficacy of opioids with ultrasound guided (USG) PECs block in managing the postoperative pain among patients who undergo modified radical mastectomy.

Methods and results: Fifty patients undergoing modified radical mastectomy who meet the inclusion criteria are involved in the study, the patients will be then allocated into two groups by computer generated table and Group A will receive USG guided PECs block with 20ml 0.5% Ropivacaine before general anaesthesia and Group B will receive only general anaesthesia. Primary outcome is measured in terms of time for first rescue analgesic in postoperative period and secondary outcome with respect to intraoperative haemodynamic changes i.e., PONV, total opioid consumption.

Conclusion: PECs block definitely helped to reduce the post-operative opioid consumption thereby reducing the side effects of opioids.

Keywords: breast cancer; PECs block; ultrasound; general anesthesia