Moving Toward Opioid-Free Breast Surgery: Regional Blocks and a Novel Technique.

Clinics in plastic surgery 2021 Vol.48(1) p. 123-130

Williams L, Iteld L

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Abstract

Perioperative pain control is of increasing importance as awareness regarding the risks of under-controlled pain and opioid abuse rise. Enhanced recovery protocols and multimodal analgesia, including regional blocks, are useful tools for the plastic surgeon. The thoracic paravertebral block, pectoralis nerve I and pectoralis nerve II blocks, and proximal intercostal blocks are 3 described methods that provide regional anesthesia for breast surgery. The widespread use of these methods may be limited by the requirements for ultrasound equipment and anesthesiologists skilled in regional blocks. This article describes a novel technique of the intercostal field block under direct visualization that is safe and efficient.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
해부 breast 유방 dict 2
해부 intercostal scispacy 1
질환 Perioperative pain scispacy 1
질환 pain C0030193
Pain
scispacy 1
질환 opioid abuse C0029095
Opioid abuse
scispacy 1
질환 thoracic paravertebral block scispacy 1
기타 thoracic paravertebral scispacy 1
기타 pectoralis nerve I scispacy 1
기타 pectoralis nerve II scispacy 1

MeSH Terms

Analgesics, Opioid; Anesthesia, Local; Female; Humans; Mammaplasty; Nerve Block; Pain Management; Postoperative Pain; Pectoralis Muscles

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