Impact of Pectoralis Nerve Block (PECS) on postoperative pain in patients submitted to mastectomy with lymphadenectomy
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100256 |
Resumo: | ABSTRACT Objective: Breast cancer is the most common malignant neoplasm in women worldwide. Surgery has been traditional treatment and, generally, it´s mastectomy with lymphadenectomy, that can causes postoperative pain. Therefore, we seek to study regional anesthesic techniques that can minimize this effect, such as the interpectoral block (PECS). Methods: randomized controlled study with 82 patients with breast cancer who underwent mastectomy with lymphadenectomy from January 2020 to October 2021 in oncology hospital. Interventions: two randomized groups (control - exclusive general anesthesia and PECS group - received PECS block with levobupivacaine/ropivacaine and general anesthesia). We applied a questionnaire with Numeric Rating Scale for pain 24h after surgery. We used Shapiro-Wilk, Mann-Whitney and Chi-square tests, and analyzed the data in R version 4.0.0 (ReBEC). Results: in the PECS group, 50% were pain-free 24h after surgery and in the control group it was 42.86%. The majority who presented pain classified it as mild pain (VAS from 1 to 3) - (42.50%) PECS group and (40.48%) control group (p=0.28). Only 17.50% consumed opioids in the PECS group, similar to the control group with 21.43%. (p=0.65). There was a low rate of complications such as PONV in both groups. In the subgroup analysis, there was no statistical difference between the groups that used levobupivacaine or ropivacaine regarding postoperative pain and opioid consumption. Discussion: the studied group had a low rate of pain in the postoperative period and it influenced the statistical analysis. There wasn´t difference in postoperative pain in groups. Conclusion: was not possible to demonstrate better results with the association of the PECS block with total intravenous analgesia. Need further studies to assess the efficacy of the nerve block. |
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Impact of Pectoralis Nerve Block (PECS) on postoperative pain in patients submitted to mastectomy with lymphadenectomyBreast NeoplasmsNerve BlockPain, PostoperativePain MeasurementPostoperative ComplicationsABSTRACT Objective: Breast cancer is the most common malignant neoplasm in women worldwide. Surgery has been traditional treatment and, generally, it´s mastectomy with lymphadenectomy, that can causes postoperative pain. Therefore, we seek to study regional anesthesic techniques that can minimize this effect, such as the interpectoral block (PECS). Methods: randomized controlled study with 82 patients with breast cancer who underwent mastectomy with lymphadenectomy from January 2020 to October 2021 in oncology hospital. Interventions: two randomized groups (control - exclusive general anesthesia and PECS group - received PECS block with levobupivacaine/ropivacaine and general anesthesia). We applied a questionnaire with Numeric Rating Scale for pain 24h after surgery. We used Shapiro-Wilk, Mann-Whitney and Chi-square tests, and analyzed the data in R version 4.0.0 (ReBEC). Results: in the PECS group, 50% were pain-free 24h after surgery and in the control group it was 42.86%. The majority who presented pain classified it as mild pain (VAS from 1 to 3) - (42.50%) PECS group and (40.48%) control group (p=0.28). Only 17.50% consumed opioids in the PECS group, similar to the control group with 21.43%. (p=0.65). There was a low rate of complications such as PONV in both groups. In the subgroup analysis, there was no statistical difference between the groups that used levobupivacaine or ropivacaine regarding postoperative pain and opioid consumption. Discussion: the studied group had a low rate of pain in the postoperative period and it influenced the statistical analysis. There wasn´t difference in postoperative pain in groups. Conclusion: was not possible to demonstrate better results with the association of the PECS block with total intravenous analgesia. Need further studies to assess the efficacy of the nerve block.Colégio Brasileiro de Cirurgiões2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100256Revista do Colégio Brasileiro de Cirurgiões v.49 2022reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20223366-eninfo:eu-repo/semantics/openAccessLEITE,AMANDA LIRA DOS SANTOSROCHA,FREDERICO THEOBALDO RAMOSOLIVEIRA,MICHELLE JACINTHA C.BARROS,ALDO VIEIRASANTOS,SILVIO MARCOS LIMA DOSSILVA,ALBERSON MAYLSON RAMOS DASILVESTRE,DIEGO WINDSON DE ARAÚJOFOLHA FILHO,ELSON A CFERRO,CAROLINE CBEZERRA,TAINA SANTOSFACHIN,LAERCIO PSANTOS,DALMIR CAVALCANTIFRAGA,CARLOS ALBERTO DE CARVALHOSALES-MARQUES,CAROLINNEeng2022-12-07T00:00:00Zoai:scielo:S0100-69912022000100256Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2022-12-07T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Impact of Pectoralis Nerve Block (PECS) on postoperative pain in patients submitted to mastectomy with lymphadenectomy |
title |
Impact of Pectoralis Nerve Block (PECS) on postoperative pain in patients submitted to mastectomy with lymphadenectomy |
spellingShingle |
Impact of Pectoralis Nerve Block (PECS) on postoperative pain in patients submitted to mastectomy with lymphadenectomy LEITE,AMANDA LIRA DOS SANTOS Breast Neoplasms Nerve Block Pain, Postoperative Pain Measurement Postoperative Complications |
title_short |
Impact of Pectoralis Nerve Block (PECS) on postoperative pain in patients submitted to mastectomy with lymphadenectomy |
title_full |
Impact of Pectoralis Nerve Block (PECS) on postoperative pain in patients submitted to mastectomy with lymphadenectomy |
title_fullStr |
Impact of Pectoralis Nerve Block (PECS) on postoperative pain in patients submitted to mastectomy with lymphadenectomy |
title_full_unstemmed |
Impact of Pectoralis Nerve Block (PECS) on postoperative pain in patients submitted to mastectomy with lymphadenectomy |
title_sort |
Impact of Pectoralis Nerve Block (PECS) on postoperative pain in patients submitted to mastectomy with lymphadenectomy |
author |
LEITE,AMANDA LIRA DOS SANTOS |
author_facet |
LEITE,AMANDA LIRA DOS SANTOS ROCHA,FREDERICO THEOBALDO RAMOS OLIVEIRA,MICHELLE JACINTHA C. BARROS,ALDO VIEIRA SANTOS,SILVIO MARCOS LIMA DOS SILVA,ALBERSON MAYLSON RAMOS DA SILVESTRE,DIEGO WINDSON DE ARAÚJO FOLHA FILHO,ELSON A C FERRO,CAROLINE C BEZERRA,TAINA SANTOS FACHIN,LAERCIO P SANTOS,DALMIR CAVALCANTI FRAGA,CARLOS ALBERTO DE CARVALHO SALES-MARQUES,CAROLINNE |
author_role |
author |
author2 |
ROCHA,FREDERICO THEOBALDO RAMOS OLIVEIRA,MICHELLE JACINTHA C. BARROS,ALDO VIEIRA SANTOS,SILVIO MARCOS LIMA DOS SILVA,ALBERSON MAYLSON RAMOS DA SILVESTRE,DIEGO WINDSON DE ARAÚJO FOLHA FILHO,ELSON A C FERRO,CAROLINE C BEZERRA,TAINA SANTOS FACHIN,LAERCIO P SANTOS,DALMIR CAVALCANTI FRAGA,CARLOS ALBERTO DE CARVALHO SALES-MARQUES,CAROLINNE |
author2_role |
author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
LEITE,AMANDA LIRA DOS SANTOS ROCHA,FREDERICO THEOBALDO RAMOS OLIVEIRA,MICHELLE JACINTHA C. BARROS,ALDO VIEIRA SANTOS,SILVIO MARCOS LIMA DOS SILVA,ALBERSON MAYLSON RAMOS DA SILVESTRE,DIEGO WINDSON DE ARAÚJO FOLHA FILHO,ELSON A C FERRO,CAROLINE C BEZERRA,TAINA SANTOS FACHIN,LAERCIO P SANTOS,DALMIR CAVALCANTI FRAGA,CARLOS ALBERTO DE CARVALHO SALES-MARQUES,CAROLINNE |
dc.subject.por.fl_str_mv |
Breast Neoplasms Nerve Block Pain, Postoperative Pain Measurement Postoperative Complications |
topic |
Breast Neoplasms Nerve Block Pain, Postoperative Pain Measurement Postoperative Complications |
description |
ABSTRACT Objective: Breast cancer is the most common malignant neoplasm in women worldwide. Surgery has been traditional treatment and, generally, it´s mastectomy with lymphadenectomy, that can causes postoperative pain. Therefore, we seek to study regional anesthesic techniques that can minimize this effect, such as the interpectoral block (PECS). Methods: randomized controlled study with 82 patients with breast cancer who underwent mastectomy with lymphadenectomy from January 2020 to October 2021 in oncology hospital. Interventions: two randomized groups (control - exclusive general anesthesia and PECS group - received PECS block with levobupivacaine/ropivacaine and general anesthesia). We applied a questionnaire with Numeric Rating Scale for pain 24h after surgery. We used Shapiro-Wilk, Mann-Whitney and Chi-square tests, and analyzed the data in R version 4.0.0 (ReBEC). Results: in the PECS group, 50% were pain-free 24h after surgery and in the control group it was 42.86%. The majority who presented pain classified it as mild pain (VAS from 1 to 3) - (42.50%) PECS group and (40.48%) control group (p=0.28). Only 17.50% consumed opioids in the PECS group, similar to the control group with 21.43%. (p=0.65). There was a low rate of complications such as PONV in both groups. In the subgroup analysis, there was no statistical difference between the groups that used levobupivacaine or ropivacaine regarding postoperative pain and opioid consumption. Discussion: the studied group had a low rate of pain in the postoperative period and it influenced the statistical analysis. There wasn´t difference in postoperative pain in groups. Conclusion: was not possible to demonstrate better results with the association of the PECS block with total intravenous analgesia. Need further studies to assess the efficacy of the nerve block. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100256 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100256 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-6991e-20223366-en |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.49 2022 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
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Colégio Brasileiro de Cirurgiões (CBC) |
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CBC |
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CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
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