Pectoral Nerves Blocks for Post-Operative Analgesia after BreastCancer Surgery

Pectoral nerves I and II blocks in multimodal analgesia for breast cancer surgery: a randomized clinical trial.

BACKGROUND The pectoral nerves (Pecs) block types I and II are novel techniques to block the pectoral, intercostobrachial, third to sixth intercostals, and the long thoracic nerves. They may provide good analgesia during and after breast surgery. Our study aimed to compare prospectively the quality of analgesia after modified radical mastectomy surgery using general anesthesia and Pecs blocks v...

Post-operative analgesia after remifentanil-based anaesthesia

Remifentanil is a very potent ultrashort acting opioid, that is mainly used as a part of balanced anaesthesia regimens for management of intraoperative pain. Effective plasma levels of this drug can only be maintained using continuous infusions, as tissue esterases inactivate remifentanil within minutes following its application. The advantages of this specific pharmacokinetic behaviour are tha...

Comparison of intrathecal morphine plus PCA and PCA alone for post-operative analgesia after kidney surgery.

OBJECTIVE To study the use of intrathecal morphine plus PCA for reducing morphine consumption, pain scores, and improving patient-satisfaction. MATERIAL AND METHOD The authors included patients who had received a flank incision for elective kidney surgery. The patients were random into the intrathecal and control groups by block randomization using the sealed envelop technique. The intratheca...

Novel concepts of analgesia for post operative pain: Multimodal analgesia

Peripheral nerve blocks improve analgesia after total knee replacement surgery.

UNLABELLED Total knee replacement (TKR) produces severe postoperative pain. Peripheral nerve blocks can be used as analgesic adjuncts for TKR, but the efficacy of femoral nerve blocks alone is controversial. The sciatic nerve innervates posterior regions of the knee; thus, performance of both sciatic and femoral nerve blocks may be necessary to improve analgesia after TKR. We performed this stu...