Pectoral Nerves Block vs Wound Infiltration for Partial Mastectomy - a Prospective Randomized Trial.
Status:
Recruiting
Trial end date:
2022-03-01
Target enrollment:
Participant gender:
Summary
Pectoralis nerves plane block (PECS) first described by Blanco in 2011 has become part of
postoperative pain management in breast surgery, thoracic surgery and thoracic trauma. The
combination of low complication risk and easiness in mastering of PECS block has made it an
interesting alternative to thoracic epidural anesthesia (TEDA) and paravertebral blockade
(PVB) for pain treatment after breast surgery. Several studies showed good results when PECS
was compared to PVB. PECS blockade however is a procedure requiring some resources in the
operating room. An alternative approach is to inject local anesthetics (LA) in the operation
field by the surgeon.
The hypothesis' tested in this study is primarily: that PECS blockade is superior to LA being
injected by surgeon in the operating field measured by end points such as: post-operative
pain, post-operative analgesics use, post-operative nausea or vomiting (PONV) and length of
stay in the post anesthesia care unit (PACU).