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Volume 10 Journal of Cancer Science & Therapy
ISSN: 1948-5956 Breast Cancer 2018
May 10-11, 2018
May 10-11, 2018 | Frankfurt, Germany
7th World Congress on Breast Cancer
Blocks for relieving pain associated with breast surgery
Cankaya Baris
Marmara University Pendik Training Hospital, Turkey
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 major) and 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 efficient 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 increasingly prefer Pecs over thoracic paravertebral blocks and
thoracic epidural catheters. PECs have lower risk of intravascular injection.
Biography
Cankaya Baris is an Anesthesiologist with interest in perioperative medicine and patient safety. He is responsible for blue code management in his hospital. He has
certifications for adult, newborn, pediatric resuscitation from European Resuscitation Council.
Cankaya Baris, J Cancer Sci Ther 2018, Volume 10
DOI: 10.4172/1948-5956-C2-126