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| http://dx.doi.org/10.1016/j.jclinane.2019.04.003 | DOI Listing |
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Influence of psychological factors on the benefit from interpectoral and pectoserratus plane block for recovery after partial mastectomy: a randomized controlled trial.
Korean J Anesthesiol
February 2025
Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Background: The interpectoral and pectoserratus plane (PECs) blocks have been reported to provide favorable postoperative analgesia after mastectomy. However, studies have reported controversial data regarding its effect on the quality of recovery (QoR). We aimed to evaluate the effect of the PECs block in light of baseline psychological factors and pain sensitivity.
View Article and Find Full Text PDFComparison of Pectoral Nerve and Paravertebral Blocks for Postoperative Pain Management in Breast Surgery: A Multicentre Randomised Double-Blind Trial.
J Breast Cancer
August 2025
Pain Management Center, Neurocenter of Southern Switzerland, Ente Ospedaliero Cantonale (EOC), Lugano, Switzerland.
Purpose: Pectoral nerve (PECS) blocks have gained popularity for pain management in breast cancer surgery because of their ease of use and lower risk profile. However, their efficacy compared with that of paravertebral block (PVB) remains uncertain. This study aimed to evaluate the non-inferiority of the PECS block to PVB for postoperative analgesia.
View Article and Find Full Text PDFUltrasound-Guided PECS II Block Reduces Periprocedural Pain in Cardiac Device Implantation: A Prospective Controlled Study.
Medicina (Kaunas)
July 2025
Department of Anesthesiology and Intensive Care Medicine, Faculty of General Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540001 Târgu Mureș, Romania.
: Implantation of cardiac implantable electronic devices (CIEDs) is increasingly performed in elderly and comorbid patients, for whom minimizing perioperative complications-including pain and systemic drug use-is critical. Traditional local infiltration often provides insufficient analgesia. The ultrasound-guided PECS II block, an interfascial regional technique, offers promising analgesic benefits in thoracic wall procedures but remains underutilized in cardiac electrophysiology.
View Article and Find Full Text PDFCould Wound Instillation Provide an Efficient Analgesia Comparable to That Provided by PECS-II Block for Modified Radical Mastectomy Using Ketamine-Bupivacaine Combination? A Pilot Study.
Local Reg Anesth
August 2025
Department of Anaesthesia, Pain, and ICU, Faculty of Medicine, Assiut University, Assiut, Egypt.
Background And Aim: In the light of the abundance of various analgesic methods available for analgesia following modified radical mastectomy (MRM) (pharmacological or interventional), we aimed to try a very simple technique using a drug combination (ketamine-bupivacaine) through wound instillation and to compare it to the reputable PECS-II block using the same drug combination. We hypothesized that, with this drug combination, local instillation may achieve a comparable, long lasting, analgesia for almost 48 hours, with less costly, and simple method.
Patients And Methods: Sixty women scheduled to undergo MRM participated in this study.
Analgesia in gender-affirming mastectomy: Intraoperative pectoral blocks are equally effective as preoperative, ultrasound-guided PECS I/II blocks.
JPRAS Open
September 2025
Division of Plastic Surgery, Northwestern Memorial Hospital, Chicago, IL, USA.
Background: Pectoral nerve blocks I and II (PECS I and II) can be given preoperatively under ultrasound guidance by an anesthesiologist or intraoperatively by a surgeon for postoperative pain control. A comparison of analgesia provided by preoperative versus intraoperative PECS blocks could help surgeons decide which method is most effective while optimizing resources.
Methods: A retrospective review of patients receiving gender-affirming mastectomies at a single institution was conducted from 2018 to 2024.