The Efficacy of Different Volumes on Ultrasound-Guided Type-I Pectoral Nerve Block for Postoperative Analgesia After Subpectoral Breast Augmentation: A Prospective, Randomized, Controlled Study

Background PECS type-1 block, a US-guided superficial interfacial block, provides effective analgesia after breast surgery. Aesthetic breast augmentation is one of the most common surgical procedures in plastic surgery. Subpectoral prostheses cause severe pain. The aim of this study was to investiga...

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Bibliographic Details
Published in:Aesthetic plastic surgery 2019-04, Vol.43 (2), p.297-304
Main Authors: Ekinci, Mursel, Ciftci, Bahadir, Celik, Erkan Cem, Karakaya, Muhammet Ahmet, Demiraran, Yavuz
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Analgesia - methods
Anesthetics, Local - administration & dosage
Breast implants
Breast surgery
Female
Humans
Mammaplasty - methods
Medicine
Medicine & Public Health
Middle Aged
Nerve Block - methods
Original Article
Otorhinolaryngology
Pain management
Pain, Postoperative - prevention & control
Pectoralis Muscles
Plastic Surgery
Postoperative period
Prospective Studies
Single-Blind Method
Thoracic Nerves
Ultrasonography, Interventional
Young Adult
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Summary:Background PECS type-1 block, a US-guided superficial interfacial block, provides effective analgesia after breast surgery. Aesthetic breast augmentation is one of the most common surgical procedures in plastic surgery. Subpectoral prostheses cause severe pain. The aim of this study was to investigate the effect of different volumes of the solution on the efficacy of PECS type-I block for postoperative analgesia after breast augmentation surgery. Methods Ninety ASA status I–II female patients aged between 18 and 65 years who scheduled breast augmentation surgery under general anesthesia were included in this study. The patients were randomly divided into three groups of 30 patients each (Group 20 = 20 ml of anaesthetic solution, Group 30 = 30 ml anaesthetic solution, and Group K = Control group). Postoperative assessment was performed using the VAS score. The VAS scores were recorded postoperatively at 1, 2, 4, 8, 16 and 24 h. Results Fentanyl consumption was statistically significantly lower in Group 20 and Group 30 compared to the Control group ( p  
ISSN:0364-216X
1432-5241
DOI:10.1007/s00266-019-01322-8