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Pain Management Volume 10, 2020 - Issue 3
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Short Communication

Impact of Preoperative Pectoralis Plane Nerve Blocks for Mastectomy on Perioperative Opioid Consumption: A Retrospective Study

Susan Y Kim1 Department of Anesthesiology & Pain Medicine, University of California, Davis Medical Center, Sacramento, CA95817, USA;2 Department of Public Health Sciences, Division of Biostatistics, University of California, Davis, CA95616, USA
,
Jorge Avila1 Department of Anesthesiology & Pain Medicine, University of California, Davis Medical Center, Sacramento, CA95817, USA;2 Department of Public Health Sciences, Division of Biostatistics, University of California, Davis, CA95616, USA
,
Joshua Lee1 Department of Anesthesiology & Pain Medicine, University of California, Davis Medical Center, Sacramento, CA95817, USA;2 Department of Public Health Sciences, Division of Biostatistics, University of California, Davis, CA95616, USA
,
Tim Lee1 Department of Anesthesiology & Pain Medicine, University of California, Davis Medical Center, Sacramento, CA95817, USA;2 Department of Public Health Sciences, Division of Biostatistics, University of California, Davis, CA95616, USA
,
Stephen Macres1 Department of Anesthesiology & Pain Medicine, University of California, Davis Medical Center, Sacramento, CA95817, USA;2 Department of Public Health Sciences, Division of Biostatistics, University of California, Davis, CA95616, USA
,
Richard L Applegate1 Department of Anesthesiology & Pain Medicine, University of California, Davis Medical Center, Sacramento, CA95817, USA;2 Department of Public Health Sciences, Division of Biostatistics, University of California, Davis, CA95616, USA
, II,
Machelle D Wilson1 Department of Anesthesiology & Pain Medicine, University of California, Davis Medical Center, Sacramento, CA95817, USA;2 Department of Public Health Sciences, Division of Biostatistics, University of California, Davis, CA95616, USA
&
Jon Zhou1 Department of Anesthesiology & Pain Medicine, University of California, Davis Medical Center, Sacramento, CA95817, USA;2 Department of Public Health Sciences, Division of Biostatistics, University of California, Davis, CA95616, USACorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0001-5969-9803
ORCID Icon show all
Pages 159-165 | Received 24 Oct 2019, Accepted 25 Feb 2020, Published online: 28 Apr 2020
 
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Abstract

Aim: To compare perioperative opioid consumption for patients undergoing mastectomy surgery with or without pectoralis nerve (PECS) plane blocks. Patients & methods: Retrospective study evaluating 152 adult females with mastectomies. Demographics, postanesthesia care unit stay duration and opioid consumption data at three time points were collected and analyzed for statistical significance. Results: 98 patients were included in the PECS block group, 54 patients were in the general anesthesia only group. Age and BMI were comparable. Total perioperative intravenous opioid consumption was less in the PECS block group (50.88 mg) compared with the general anesthesia only group (67.83 mg), p < 0.001. Conclusion: Acute pain after mastectomy is often severe. PECS plane block may decrease perioperative opioid consumption after mastectomy surgery compared with general anesthesia alone.

Financial & competing interests disclosure

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

No writing assistance was utilized in the production of this manuscript.

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