학술논문
Synergistic Effects of Dexamethasone and Dexmedetomidine in Extending the Effects of Pectoral I and Pectoral II Blocks for Postoperative Analgesia Following Total Mastectomy with Lymph Node Dissection.
Document Type
Report
Author
Chitneni A; Department of Anesthesiology, A.T. Still University School of Osteopathic Medicine in Arizona, Mesa, AZ 63501, USA.; Hasoon J; Department of Anesthesiology, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USA.; Urits I; Department of Anesthesiology, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USA.; Viswanath O; Valley Anesthesiology and Pain Consultants, Envision Physician Services, Phoenix, AZ 85014, USA.; Department of Anesthesiology, University of Arizona College of Medicine Phoenix, Phoenix, AZ 85724, USA.; Department of Anesthesiology, Creighton University School of Medicine, Omaha, NE 68178, USA.; Department of Anesthesiology, Louisiana State University Health Shreveport, Shreveport, LA 71115, USA.; Kaye AD; Department of Anesthesiology, Louisiana State University Health Shreveport, Shreveport, LA 71115, USA.; Eskander J; Anesthesiology and Pain Medicine, Portsmouth Anesthesia Associates, Portsmouth, VA 23707, USA.
Source
Publisher: MDPI Country of Publication: Switzerland NLM ID: 101563282 Publication Model: Electronic Cited Medium: Print ISSN: 2039-7275 (Print) Linking ISSN: 20397275 NLM ISO Abbreviation: Clin Pract Subsets: PubMed not MEDLINE
Subject
Language
English
ISSN
2039-7275
Abstract
Regional anesthesia is an important aspect of the overall anesthetic plan for patients. It has the potential to offer superior benefits compared to opioid-based treatment and is an important component of Enhanced Recovery after Surgery (ERAS) protocols. The use of the pectoral type I (PECS I) and pectoral type II blocks (PECS II) has been shown to reduce postoperative pain and opioid consumption in patients undergoing complete mastectomy and breast surgery. We describe the use of dexamethasone and dexmedetomidine to prolong the analgesic effects of these regional blocks in a patient undergoing total mastectomy with lymph node dissection.