Pectoral nerve block (Pecs block) with sedation for breast conserving surgery without general anesthesia.
10.4174/astr.2017.93.3.166
- Author:
Eun Jin MOON
1
;
Seung Beom KIM
;
Jun Young CHUNG
;
Jeong Yoon SONG
;
Jae Woo YI
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Kyung Hee University, Seoul, Korea. mdyjwchk@khu.ac.kr
- Publication Type:Case Report
- Keywords:
Breast conserving surgery;
Nerve block;
Pectoral nerves
- MeSH:
Anesthesia;
Anesthesia, Conduction;
Anesthesia, General*;
Breast*;
Carcinoma, Ductal;
Conscious Sedation;
Dexmedetomidine;
Female;
Humans;
Mastectomy, Segmental*;
Middle Aged;
Nerve Block;
Pain, Postoperative
- From:Annals of Surgical Treatment and Research
2017;93(3):166-169
- CountryRepublic of Korea
- Language:English
-
Abstract:
Most regional anesthesia in breast surgeries is performed as postoperative pain management under general anesthesia, and not as the primary anesthesia. Regional anesthesia has very few cardiovascular or pulmonary side-effects, as compared with general anesthesia. Pectoral nerve block is a relatively new technique, with fewer complications than other regional anesthesia. We performed Pecs I and Pec II block simultaneously as primary anesthesia under moderate sedation with dexmedetomidine for breast conserving surgery in a 49-year-old female patient with invasive ductal carcinoma. Block was uneventful and showed no complications. Thus, Pecs block with sedation could be an alternative to general anesthesia for breast surgeries.
