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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 82(1)

Efficacy of pectoral nerve block type-2 (Pecs II block) versus serratus plane block for postoperative analgesia in breast cancer surgery: a retrospective study

https://doi.org/10.18999/nagjms.82.1.93
954bab09-3f61-404c-9a21-251ea4a5020f
名前 / ファイル ライセンス アクション
12_Kubodera.pdf 12_Kubodera.pdf (5.6 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2020-02-26
タイトル
タイトル Efficacy of pectoral nerve block type-2 (Pecs II block) versus serratus plane block for postoperative analgesia in breast cancer surgery: a retrospective study
著者 Kubodera, Kazumi

× Kubodera, Kazumi

WEKO 96341

Kubodera, Kazumi

Search repository
Fujii, Tasuku

× Fujii, Tasuku

WEKO 96342

Fujii, Tasuku

Search repository
Akane, Akiko

× Akane, Akiko

WEKO 96343

Akane, Akiko

Search repository
Aoki, Wakana

× Aoki, Wakana

WEKO 96344

Aoki, Wakana

Search repository
Sekiguchi, Akiko

× Sekiguchi, Akiko

WEKO 96345

Sekiguchi, Akiko

Search repository
Iwata, Keiko

× Iwata, Keiko

WEKO 96346

Iwata, Keiko

Search repository
Ban, Makiko

× Ban, Makiko

WEKO 96347

Ban, Makiko

Search repository
Ando, Reiko

× Ando, Reiko

WEKO 96348

Ando, Reiko

Search repository
Nakamura, Nozomi

× Nakamura, Nozomi

WEKO 96349

Nakamura, Nozomi

Search repository
Shibata, Yasuyuki

× Shibata, Yasuyuki

WEKO 96350

Shibata, Yasuyuki

Search repository
Nishiwaki, Kimitoshi

× Nishiwaki, Kimitoshi

WEKO 96351

Nishiwaki, Kimitoshi

Search repository
キーワード
主題Scheme Other
主題 pectoral nerve block
キーワード
主題Scheme Other
主題 serratus plane block
キーワード
主題Scheme Other
主題 postoperative analgesia
キーワード
主題Scheme Other
主題 breast cancer surgery
抄録
内容記述 Thoracic wall nerve blocks reduce postoperative acute pain after breast cancer surgery (BCS); however, their short-term effects and the most effective technique remain unclear. To compare the effects of pectoral nerve block type-2 (Pecs II block) and serratus plane block for postoperative short-term analgesia, we retrospectively reviewed 43 BCS patients who underwent Pecs II block (n=22) or serratus plane block (n=21). The primary outcome was the proportion of patients with no complaints of pain 2 months post-BCS. The odds ratio (OR) was assessed, adjusting for axillary lymph node dissection. The secondary outcomes were pain severity 24 hours and 2 months post-operation using the numerical rating scale score, and morphine consumption within 24 hours. The proportion of patients without pain 2 months post-BCS was significantly less with Pecs II block than in patients with serratus plane block (55% vs. 19%, adjusted OR, 5.04; 95% confidence interval, 1.26–20.07; P=0.02); the median [interquartile range] score for pain 2 months post-operation was also significantly lower with Pecs II block (Pecs II block 0.5 [0–1] vs. serratus plane block 1 [1–2]); P=0.03). Regarding post-BCS acute analgesia, the median [interquartile range] postoperative 24-hour pain score was 2 [1–3] and 3 [1.5–3.5], and the median morphine consumption within 24 hours was 1.5 [0.75–5.5] and 3 [1.5–10] mg in Pecs II block and serratus plane block (P=0.47 and P=0.11), respectively. This study suggests that Pecs II block prevents short-term post-BCS pain better than serratus plane block. However, further studies are needed in order to support this finding.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.82.1.93
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
関連識別子
識別子タイプ URI
関連識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/821.html
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ ISSN
収録物識別子 2186-3326
書誌情報 Nagoya Journal of Medical Science

巻 82, 号 1, p. 93-99, 発行日 2020-02
著者版フラグ
値 publisher
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