PMID- 33710724
OWN - NLM
STAT- MEDLINE
DCOM- 20211022
LR  - 20211022
IS  - 1533-2500 (Electronic)
IS  - 1530-7085 (Linking)
VI  - 21
IP  - 6
DP  - 2021 Jul
TI  - Comparison of Ultrasound-Guided Type-II Pectoral Nerve Block and Rhomboid 
      Intercostal Block for Pain Management Following Breast Cancer Surgery: A 
      Randomized, Controlled Trial.
PG  - 638-645
LID - 10.1111/papr.13004 [doi]
AB  - PURPOSE: Although breast-conserving surgery-axillary dissection (BCS-AD) is a 
      minimally invasive surgery, patients may suffer from moderate-to-severe pain. 
      Several regional techniques can be used for pain control. The type II pectoral 
      nerve block (PECS II) and the rhomboid intercostal block (RIB) are interfascial 
      plane blocks that have been reported to provide effective analgesia after breast 
      surgery. This study aims to compare the analgesic efficacy of the PECS II block 
      and the RIB after breast surgery. PATIENTS AND METHODS: Ninety female patients 
      aged 18 to 65 years with American Society of Anesthesiologists (ASA) classes I 
      and II physical status who underwent unilateral BCS-AD surgery were included. 
      Patients were divided into three groups (n = 30 in each): the PECS II group, the 
      RIB group, or the control group. PECS II block and RIB were performed with 30 mL 
      0.25% bupivacaine. Ibuprofen 400 mg IV 3 x 1 was given in the postoperative 
      period. A patient control analgesia device included a dose of 10 microg/mL fentanyl, 
      which was prepared and connected to the patients. RESULTS: There were no 
      statistical differences between groups in terms of demographical data. 
      Postoperative fentanyl consumption was significantly lower in the PECS II and RIB 
      groups than the control group. The need for rescue analgesia use was 
      significantly higher in the control group than the other groups. At all times, 
      visual analog scale scores were significantly lower in the PECS II and RIB groups 
      than the control group. CONCLUSIONS: The PECS II block and the RIB provide 
      similar effective analgesia after BCS-AD.
CI  - (c) 2021 World Institute of Pain.
FAU - Ciftci, Bahadir
AU  - Ciftci B
AUID- ORCID: 0000-0002-3245-6614
AD  - Department of Anesthesiology, School of Medicine, Istanbul Medipol University, 
      Istanbul, Turkey.
FAU - Ekinci, Mursel
AU  - Ekinci M
AD  - Department of Anesthesiology, Bursa State Hospital, Bursa, Turkey.
FAU - Basim, Pelin
AU  - Basim P
AD  - Department of General Surgery, School of Medicine, Istanbul Medipol University, 
      Istanbul, Turkey.
FAU - Celik, Erkan Cem
AU  - Celik EC
AD  - Department of Anesthesiology, School of Medicine, Erzurum Ataturk University, 
      Erzurum, Turkey.
FAU - Tukac, Ismail Cem
AU  - Tukac IC
AD  - Department of Anesthesiology, School of Medicine, Istanbul Medipol University, 
      Istanbul, Turkey.
FAU - Zenciroglu, Mahmut
AU  - Zenciroglu M
AD  - Department of General Surgery, School of Medicine, Istanbul Medipol University, 
      Istanbul, Turkey.
FAU - Atalay, Yunus Oktay
AU  - Atalay YO
AD  - Department of Anesthesiology, School of Medicine, Istanbul Medipol University, 
      Istanbul, Turkey.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20210326
PL  - United States
TA  - Pain Pract
JT  - Pain practice : the official journal of World Institute of Pain
JID - 101130835
SB  - IM
MH  - *Breast Neoplasms/surgery
MH  - Female
MH  - Humans
MH  - Pain Management
MH  - Pain, Postoperative/drug therapy
MH  - Prospective Studies
MH  - *Thoracic Nerves
MH  - Ultrasonography, Interventional
OTO - NOTNLM
OT  - acute pain
OT  - breast surgery
OT  - regional anesthesia
OT  - truncal blocks
EDAT- 2021/03/13 06:00
MHDA- 2023/02/25 06:00
CRDT- 2021/03/12 13:00
PHST- 2021/02/18 00:00 [revised]
PHST- 2020/12/03 00:00 [received]
PHST- 2021/03/05 00:00 [accepted]
PHST- 2021/03/13 06:00 [pubmed]
PHST- 2023/02/25 06:00 [medline]
PHST- 2021/03/12 13:00 [entrez]
AID - 10.1111/papr.13004 [doi]
PST - ppublish
SO  - Pain Pract. 2021 Jul;21(6):638-645. doi: 10.1111/papr.13004. Epub 2021 Mar 26.