Publications by authors named "R A Greengrass"
Objective: This study aimed to determine the incidence of complications after landmark-based paravertebral blocks for breast surgery.
Methods: The medical records of patients who received a paravertebral block for breast surgery between 2019 and 2022 were reviewed. Patient age, sex, type of procedure, number of injections, volume of injected anesthetic, and possible complications were noted.
Introduction Variability regarding which blocks are performed most often can be quite high among anesthesiology residency training programs. Which techniques are viewed by residency programs as "critical" for their graduates to know can also be inconsistent. We administered a national survey to investigate correlations between the cited importance of techniques and the relative frequency with which they are being taught.
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- The Society for Ambulatory Anesthesia (SAMBA) analyzed the effectiveness of pectoralis (PECS) blocks for breast surgery analgesia and compared it with other methods like systemic analgesia and paravertebral blockade.
- PECS blocks were found to moderately reduce opioid use, prolong the time before additional pain relief is needed, and lower postoperative pain scores compared to systemic analgesics.
- SAMBA recommends PECS blocks for breast-conserving surgery when systemic analgesia isn't used, but it doesn’t strongly favor PECS over local infiltration; for mastectomy, PECS can be as effective as paravertebral blocks if the latter isn't an option.