{"title":"胸神经阻滞在乳腺外科“术后恢复增强”计划中的临床影响。","authors":"Duccio Conti, Juri Valoriani, Piercarlo Ballo, Maddalena Pazzi, Lara Gianesello, Veronica Mengoni, Valentina Criscenti, Eleonora Gemmi, Caterina Stera, Federica Zoppi, Lorenzo Galli, Vittorio Pavoni","doi":"10.2217/pmt-2023-0063","DOIUrl":null,"url":null,"abstract":"<p><p><b>Background:</b> Pectoral nerve block (PECS) is increasingly performed in breast surgery. <b>Aim:</b> The study evaluated the clinical impact of these blocks in the postoperative course. <b>Patients & methods:</b> In this case-control study, patients undergoing breast surgery with 'enhanced recovery after surgery' pathways were divided into group 1 (57 patients) in whom PECS was performed before general anesthesia, and group 2 (57 patients) in whom only general anesthesia was effected. <b>Results:</b> Postoperative opioid consumption (p < 0.002), pain at 32 h after surgery (p < 0.005) and the length of stay (p < 0.003) were significantly lower in group 1. <b>Conclusion:</b> Reducing opioid consumption and pain after surgery, PECS could favor a faster recovery with a reduction in length of stay, ensuring a higher turnover of patients undergoing breast surgery.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"585-592"},"PeriodicalIF":1.4000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The clinical impact of pectoral nerve block in an 'enhanced recovery after surgery' program in breast surgery.\",\"authors\":\"Duccio Conti, Juri Valoriani, Piercarlo Ballo, Maddalena Pazzi, Lara Gianesello, Veronica Mengoni, Valentina Criscenti, Eleonora Gemmi, Caterina Stera, Federica Zoppi, Lorenzo Galli, Vittorio Pavoni\",\"doi\":\"10.2217/pmt-2023-0063\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Background:</b> Pectoral nerve block (PECS) is increasingly performed in breast surgery. <b>Aim:</b> The study evaluated the clinical impact of these blocks in the postoperative course. <b>Patients & methods:</b> In this case-control study, patients undergoing breast surgery with 'enhanced recovery after surgery' pathways were divided into group 1 (57 patients) in whom PECS was performed before general anesthesia, and group 2 (57 patients) in whom only general anesthesia was effected. <b>Results:</b> Postoperative opioid consumption (p < 0.002), pain at 32 h after surgery (p < 0.005) and the length of stay (p < 0.003) were significantly lower in group 1. <b>Conclusion:</b> Reducing opioid consumption and pain after surgery, PECS could favor a faster recovery with a reduction in length of stay, ensuring a higher turnover of patients undergoing breast surgery.</p>\",\"PeriodicalId\":20000,\"journal\":{\"name\":\"Pain management\",\"volume\":\" \",\"pages\":\"585-592\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2023-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pain management\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2217/pmt-2023-0063\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/11/8 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain management","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2217/pmt-2023-0063","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/11/8 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
The clinical impact of pectoral nerve block in an 'enhanced recovery after surgery' program in breast surgery.
Background: Pectoral nerve block (PECS) is increasingly performed in breast surgery. Aim: The study evaluated the clinical impact of these blocks in the postoperative course. Patients & methods: In this case-control study, patients undergoing breast surgery with 'enhanced recovery after surgery' pathways were divided into group 1 (57 patients) in whom PECS was performed before general anesthesia, and group 2 (57 patients) in whom only general anesthesia was effected. Results: Postoperative opioid consumption (p < 0.002), pain at 32 h after surgery (p < 0.005) and the length of stay (p < 0.003) were significantly lower in group 1. Conclusion: Reducing opioid consumption and pain after surgery, PECS could favor a faster recovery with a reduction in length of stay, ensuring a higher turnover of patients undergoing breast surgery.
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