지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 286 - 291 (6page)
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초록· 키워드
오류제보하기
Background: Breast cancer is complicated by a high incidence of chronic postoperative pain (25%-60%). Regional anesthesia might play an important role in lowering the incidence of chronic pain; however it is not known if the pectoral nerve block (PECS block), which is commonly used for breast surgery, is able to prevent this complication. Our main objective was therefore to detect any association between the PECS block and chronic pain at 3, 6, 9, and 12 months in patients undergoing breast surgery. Methods: We conducted a prospective, monocentric, observational study. We enrolled 140 consecutive patients undergoing breast surgery and divided them in patients receiving a PECS block and general anesthesia (PECS group) and patients receiving only general anesthesia (GA group). Then we considered both intraoperative variables (intravenous opioids administration), postoperative data (pain suffered by the patients during the first 24 postoperative hours and the need for additional analgesic administration) and development and persistence of chronic pain (at 3, 6, 9, and 12 mo). Results: The PECS group had a lower incidence of chronic pain at 3 months (14.9% vs. 31.8%, P = 0.039), needed less intraoperative opioids (fentanyl 1.61 μg/kg/hr vs. 3.3 μg/kg/hr, P < 0.001) and had less postoperative pain (3 vs. 4, P = 0.017). Conclusions: The PECS block might play an important role in lowering incidence of chronic pain, but further studies are needed.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
International Agency for Research on Cancer / Estimated number of new cases in 2018, worldwide, both sexes, all ages
Andersen KG / 2011 / Persistent pain after breast cancer treatment : a critical review of risk factors and strategies for prevention / J Pain 12:725~746
Peuckmann V / 2009 / Chronic pain and other sequelae in long-term breast cancer survivors : nationwide survey in Denmark / Eur J Pain 13:478~485
Blyth FM / 2003 / Chronic pain-related disability and use of analgesia and health services in a Sydney community / Med J Aust 179:84~87
Blanco R / 2012 / Ultrasound description of Pecs II(modified Pecs I) : a novel approach to breast surgery / Rev Esp Anestesiol Reanim 59:470~475
Andersen KG / 2011 / Persistent pain after breast cancer treatment : a critical review of risk factors and strategies for prevention / J Pain 12:725~746
Peuckmann V / 2009 / Chronic pain and other sequelae in long-term breast cancer survivors : nationwide survey in Denmark / Eur J Pain 13:478~485
Blyth FM / 2003 / Chronic pain-related disability and use of analgesia and health services in a Sydney community / Med J Aust 179:84~87
Blanco R / 2012 / Ultrasound description of Pecs II(modified Pecs I) : a novel approach to breast surgery / Rev Esp Anestesiol Reanim 59:470~475
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