ORIGINAL RESEARCH ARTICLE

A PRELIMINARY STUDY ON THE PECTORALIS BLOCK II AS A PART OF MULTIMODAL ANALGESIA FOR INTRA AND POSTOPERATIVE PAIN MANAGEMENT IN MODIFIED RADICAL MASTECTOMY

Tjokorda Gde Agung Senapathi , I Made Gede Widnyana, Christopher Ryalino, I Made Darma Junaedi

Tjokorda Gde Agung Senapathi
Anesthesiologist, Regional Anesthesia Consultant, Department of Anesthesiology, Pain Management, and Intensive Care, Sanglah General Hospital, Faculty of Medicine, Udayana University, Denpasar-Bali. Email: tjoksenapathi@unud.ac.id

I Made Gede Widnyana
Department of Anesthesiology, Pain Management, and Intensive Care, Sanglah General Hospital, Faculty of Medicine, Udayana University, Denpasar-Bali

Christopher Ryalino
Department of Anesthesiology, Pain Management, and Intensive Care, Sanglah General Hospital, Faculty of Medicine, Udayana University, Denpasar-Bali

I Made Darma Junaedi
Department of Anesthesiology, Pain Management, and Intensive Care, Sanglah General Hospital, Faculty of Medicine, Udayana University, Denpasar-Bali
Online First: December 30, 2018 | Cite this Article
Senapathi, T., Widnyana, I., Ryalino, C., Junaedi, I. 2018. A PRELIMINARY STUDY ON THE PECTORALIS BLOCK II AS A PART OF MULTIMODAL ANALGESIA FOR INTRA AND POSTOPERATIVE PAIN MANAGEMENT IN MODIFIED RADICAL MASTECTOMY. Bali Journal of Anesthesiology 2(3): 105-108. DOI:10.15562/bjoa.v2i3.106


Background: Inadequate acute postoperative pain management is the main risk factor for chronic pain after breast surgery. Pectoralis blocks I and II (pecs block I and II) are novels peripheral nerves block techniques introduced since 2011 by Blanco et al.

Methods: Ten patients diagnosed with breast cancer planned for modified radical mastectomy (MRM), from preoperative evaluation patients with a physical status of American Society of Anesthesiologist (ASA) I and II. Anesthesia management under general anesthesia with an endotracheal tube and we performed PECS block II after general anesthesia. We recorded the systolic blood pressure, mean arterial pressure (MAP), and heart rate intraoperatively, and the pain scale at 4th, 6th, 12th, and 24th hours postoperatively.

Results: The pain scale at 4th and 6th hours postoperatively were 0.3±0.5 and 0.6±0.5 respectively. The pain scale at resting starts to increase at the 12th and 24th hours (1.2±0.4 and 1.1±0.6). The mean total use of morphine recorded on PCA was 3.3 ± 0.9 (mg). No pecs block II complications were recorded in this study.

Conclusion: Pecs block II is a relatively easy, safe, and effective for MRM surgeries. Further larger and double-blinded studies are needed to know its effectiveness compared to other techniques available.

No Supplementary Material available for this article.
Article Views      : 420
PDF Downloads : 172