Breast Cancer

Biography

Biography: Cankaya Baris

Abstract

Regional and neuraxial anesthesia for pain management after breast surgery is gaining necessity. Data show improved postoperative pain control and patient satisfaction scores. Acute postoperative pain is a risk factor for  chronic pain in women after breast surgery. Chronic postoperative pain develops in nearly half of patients undergoing breast surgery. Nerve blockade improves postoperative analgesia with decreased volatile anesthetic use and  decreases hospital length of stay.  most commonly performed procedures are  thoracic epidural catheters

and paravertebral blocks , also ultrasound guided interfascial

plane blocks that target Pectoral nerve (Pecs)  are Pecs I (between the pectoralis majör) Pecs II ( between the pectoralis minor and serratus anterior

muscles). The local anesthetic blocks the medial and lateral pectoral nerves, anterior divisions of the thoracic intercostal nerves from T2 to T6, long thoracic nerve, and

thoracodorsal nerves thus providing analgesia. PECs blocks have

shown  efficacient for analgesia after breast surgery. PECs easy to administer and associated with a lower incidence of complications, especially with the use of ultrasonography. Pecs block has been  performed as postoperative pain management; not for  a primary anesthesia. Anesthesiologists are  increasingly prefering Pecs  over  Thoracal Paravertebral blocks  and thoracic epidural catheters. PECs have lower risk of intravascular injection.