فهرست نشریات علمی دسترسی آزاد ایران

BACKGROUND: Our study aimed to compare pectoral nerve (PEC) block with local anesthetic (LA)infiltration for providing analgesia in superficial breast surgeries.MATERIALS AND METHODS: This prospective comparative randomized study included seventyAmerican Society of Anesthesiologists I and II female patients undergoing excision of fibroadenoma.In Group 1, the LA mixture was infiltrated in the desired planes. In Group 2, PEC I and PEC II blockswere performed under ultrasound guidance. Patients were observed at regular time intervals for painscores, time to first analgesic request, and the number of patients requiring rescue analgesia withthe cumulative analgesic requirement, hemodynamic changes, and any adverse events.RESULTS: The patients were comparable in demographic profile, duration of anesthesia, andhemodynamic parameters. NRS scores at all times after extubation were significantly lower in Group 2as compared to Group 1 (P < 0.0001). All patients in Group 1 required additional analgesia, whileonly two in Group 2 received rescue analgesia (P < 0.0001). The time to first analgesic request wassignificantly longer in Group 1 as compared to group 2 (9.5 + 0.70 h vs. 1.35 + 0.83 h) (P < 0.0001).The cumulative requirement of tramadol in Group 1 (96.88 ± 16.45 mg) was significantly higher thanin Group 2 (6.47 ± 26.38 mg) (P < 0.0001). No adverse event was reported in either group.CONCLUSION: PEC block is a useful method for achieving effective and long‑lasting analgesia. Itis an efficient and safe alternative to LA infiltration in patients undergoing fibroadenoma excision.