Comparison of ultrasound-guided type-II pectoral nerve block and rhomboid intercostal block for pain management following breast cancer surgery: A randomized, controlled trial

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dc.authorid0000-0002-3245-6614
dc.authorid0000-0002-9452-9276
dc.authorid0000-0001-5578-6889
dc.authorid0000-0001-9928-9956
dc.contributor.authorÇiftçi, Bahadır
dc.contributor.authorEkinci, Mürsel
dc.contributor.authorBasım, Pelin
dc.contributor.authorÇelik, Erkan Cem
dc.contributor.authorTukaç, İsmail Cem
dc.contributor.authorZenciroğlu, Mahmut
dc.contributor.authorAtalay, Yunus Oktay
dc.date.accessioned2021-10-11T09:55:20Z
dc.date.available2021-10-11T09:55:20Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractPurpose Although breast-conserving surgery-axillary dissection (BCS-AD) is a minimally invasive surgery, patients may suffer from moderate-to-severe pain. Several regional techniques can be used for pain control. The type II pectoral nerve block (PECS II) and the rhomboid intercostal block (RIB) are interfascial plane blocks that have been reported to provide effective analgesia after breast surgery. This study aims to compare the analgesic efficacy of the PECS II block and the RIB after breast surgery. Patients and Methods Ninety female patients aged 18 to 65 years with American Society of Anesthesiologists (ASA) classes I and II physical status who underwent unilateral BCS-AD surgery were included. Patients were divided into three groups (n = 30 in each): the PECS II group, the RIB group, or the control group. PECS II block and RIB were performed with 30 mL 0.25% bupivacaine. Ibuprofen 400 mg IV 3 x 1 was given in the postoperative period. A patient control analgesia device included a dose of 10 mu g/mL fentanyl, which was prepared and connected to the patients. Results There were no statistical differences between groups in terms of demographical data. Postoperative fentanyl consumption was significantly lower in the PECS II and RIB groups than the control group. The need for rescue analgesia use was significantly higher in the control group than the other groups. At all times, visual analog scale scores were significantly lower in the PECS II and RIB groups than the control group. Conclusions The PECS II block and the RIB provide similar effective analgesia after BCS-AD.
dc.identifier.citationÇiftçi, B., Ekinci, M., Basım, P., Çelik, E. C., Tukaç, İ. C., Zenciroğlu, M. ... Atalay, Y. O. (2021). Comparison of ultrasound-guided type-II pectoral nerve block and rhomboid intercostal block for pain management following breast cancer surgery: A randomized, controlled trial. Pain Practice, 21(6), 638-645. https://dx.doi.org/10.1111/papr.13004
dc.identifier.doi10.1111/papr.13004
dc.identifier.endpage645
dc.identifier.issn1530-7085
dc.identifier.issn1533-2500
dc.identifier.issue6
dc.identifier.scopusqualityQ2
dc.identifier.startpage638
dc.identifier.urihttps://dx.doi.org/10.1111/papr.13004
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8415
dc.identifier.volume21
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofPain Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectTruncal Blocks
dc.subjectBreast Surgery
dc.subjectAcute Pain
dc.subjectRegional Anesthesia
dc.titleComparison of ultrasound-guided type-II pectoral nerve block and rhomboid intercostal block for pain management following breast cancer surgery: A randomized, controlled trial
dc.typeArticle

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