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Benha Medical Journal
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Volume Volume 41 (2024)
Issue Issue 8
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Elmeligy, M., Kohaf, N., Bauiomy, H., Sakaya, A. (2024). Direct versus Ultrasound Guided PECS Block Effect on Controlling Postmastectomy Pain: A Randomized Single-Blind Trial. Benha Medical Journal, 41(5), 314-322. doi: 10.21608/bmfj.2024.244677.1938
mohamed said Elmeligy; Neveen Kohaf; Hany Bauiomy; Ahmed Mostafa Sakaya. "Direct versus Ultrasound Guided PECS Block Effect on Controlling Postmastectomy Pain: A Randomized Single-Blind Trial". Benha Medical Journal, 41, 5, 2024, 314-322. doi: 10.21608/bmfj.2024.244677.1938
Elmeligy, M., Kohaf, N., Bauiomy, H., Sakaya, A. (2024). 'Direct versus Ultrasound Guided PECS Block Effect on Controlling Postmastectomy Pain: A Randomized Single-Blind Trial', Benha Medical Journal, 41(5), pp. 314-322. doi: 10.21608/bmfj.2024.244677.1938
Elmeligy, M., Kohaf, N., Bauiomy, H., Sakaya, A. Direct versus Ultrasound Guided PECS Block Effect on Controlling Postmastectomy Pain: A Randomized Single-Blind Trial. Benha Medical Journal, 2024; 41(5): 314-322. doi: 10.21608/bmfj.2024.244677.1938

Direct versus Ultrasound Guided PECS Block Effect on Controlling Postmastectomy Pain: A Randomized Single-Blind Trial

Article 10, Volume 41, Issue 5, September 2024, Page 314-322  XML PDF (720.38 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2024.244677.1938
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Authors
mohamed said Elmeligy email orcid 1; Neveen Kohaforcid 2; Hany Bauiomyorcid 3; Ahmed Mostafa Sakayaorcid 4
1anesthesia department ,benha university hospital, benha faculty of medicine
2Clinical Pharmacy Department, Faculty of Pharmacy (Girls), Al-Azhar University, Cairo
3Department of anesthesia and ICU-benha university hospital
4Department of anesthesia and ICU- benha university hospital
Abstract
Background: Persistent post-mastectomy pain has serious physical and psychological effects on the lives of patients. The PECS block combines motor and sensory nerve blocks and is distinct from sympathetic block. This study aimed to compare intraoperative with preemptive ultrasound guided (US guided) PECS block effect on controlling acute postmastectomy pain.
Methods: Sixty cases arranged for elective simple mastectomy were involved in this randomized, single-blind, controlled trial. Cases were randomized equally into three groups. Group C (the control group): received no block, Group D (direct PECS group): received direct pecs block by surgeon after closure of pectoralis muscle under direct vision and before skin closure and Group U (US guided PECS group): received US guided PECS block done after induction and before skin incision.
Results: Morphine consumption in 1st 24h postoperative was significantly lower in U group compared to C and D groups (P value
Keywords
Direct PECS; Ultrasound Guided PECS; Mastectomy; Analgesia
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