COMPARISON OF ULTRASOUND GUIDED MODIFIED PECTORAL NERVE BLOCK WITH LOCAL ANAESTHESTIC INFILTRATION FOR ANALGESIA IN BREAST CANCER SURGERY

  • Usman Saqib Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Rashid Iqbal Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Sana Usman Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Muhammad Rashid Hanif Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Keywords: Breast cancer surgery, Local anaesthetic, Pectoral nerve blocks, Post-operative pain

Abstract

Objective: To compare the frequency of pain and mean analgesia requirement after breast surgery under general anaesthesia when comparing pectoral nerve block with local anaesthesia infiltration.

Study Design: Comparative prospective study.

Place and Duration of Study: Combined Military Hospital, Rawalpindi from Mar 2018 to Sep 2019.

Methodology: A total of 60 patients undergoing modified radical mastectomy were included in the study. Group A (n=30) received pectoral nerve blocks while Group B (n=30) received local anaesthetic infiltration. Outcome was assessed at 12 hours after injection of local anaesthetic.

Results: Pain in 7 (23.33%) patients in Group A (Pectoral nerve blocks) and in 20 (66.67%) patients in Group B (Local anaesthetic infiltration), p-value of 0.001 which was considered statistically significant. Mean analgesic requirement was found to be 80 ± 33.73 mg in the Group A (pectoral nerve blocks) compared with 141.67 ± 47.50 mg in Group B (Local anaesthesia infiltration) patients with a p-value of <0.001 which was statistically significant.

Conclusion: Pectoral nerve block significantly reduces early postoperative pain and analgesia requirement when compared with Local anaesthesia infiltration after breast surgery.

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Published
2021-12-30
How to Cite
Saqib, U., Iqbal, R., Usman, S., & Hanif, M. (2021). COMPARISON OF ULTRASOUND GUIDED MODIFIED PECTORAL NERVE BLOCK WITH LOCAL ANAESTHESTIC INFILTRATION FOR ANALGESIA IN BREAST CANCER SURGERY. PAFMJ, 71(6), 1981-84. https://doi.org/10.51253/pafmj.v6i6.4110
Section
Original Articles

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