Pectoral Nerve Block for Analgesia After Breast Augmentation

Summary

Breast augmentation is among the most popular surgical procedures performed in the world with approximately 1,773,584 performed in 2013. This surgical intervention generates important pains during postsurgical recovery. A multimodal analgesia, based on the recommendations is proposed to the patients .The pectoral nerve block is an innovative technique of locoregional anesthesia that has already been successfully used in breast surgery. Its realization is fast, simple, and it would be superior compared with a paravertebral block within the framework of mastectomy. The interest of this technique has never been assessed in esthetic breast surgery. The aim of this study is to evaluate the analgesic efficacy of the association of " Pecs blocks 1 and 2 " on pain intensity after breast augmentation surgery.

Timeline

Start

2016-02-01

Primary completion

2019-10-03

Completion

2020-07-01

Outcome

Met primary endpoint

paper The maximal numerical rating scale score in the first 6 h was lower in the pectoral nerve block group compared with the control group PMID 34195767 ↗

paper difference: -1.2 [95% CI, -2.3 to -0.1]; P = 0.036 PMID 34195767 ↗

Publications

• Results Aarab Y, Ramin S, Odonnat T, Garnier O, Boissin A, Molinari N, Marin G, Perrigault PF, Cuvillon P, Chanques G. Pectoral Nerve Blocks for Breast Augmentation Surgery: A Randomized, Double-blind, Dual-centered Controlled Trial. Anesthesiology. 2021 Sep 1;135(3):442-453. doi: 10.1097/ALN.0000000000003855.

Drugs

Evaluation	Drug	Modality	Dose	Route
Subject	Ropivacaine	Other / unclassified	—	Other

Indications

No indication recorded.