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Comparative analysis of PECS-2 and ESP for acute and chronic pain control in breast-conserving surgery. A prospective study.
Cir Cir
January 2025
Department of Anesthesiology and Reanimation, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey.
Objective: The aim of this study was to compare the effects of Pectoral Nerve Block 2 (PECS-2) and Erector Spinae Plane Block (ESP), which are accepted to have an effect on post-operative pain control after breast cancer surgery, on both acute and chronic pain.
Method: In this double-blind, prospective, randomized study, patients were randomized using a sealed envelope method into two groups: those who underwent PECS-2 (Group P) and those who underwent ESP (Group E) before extubation at the end of the operation. The numerical rating scale (NRS) of patients was queried by a blinded researcher at post-operative 1, 2, 6, 12, and 24 h.
Intraprocedural transthoracic echocardiography to facilitate left bundle branch pacing: EC-LBBP.
Heart Rhythm
December 2024
Geisinger Heart Institute, Wilkes Barre, Pennsylvania.
Background: Left bundle branch (LBB) pacing (LBBP) has gained rapid adoption. Evidence for direct LBB capture has varied from 30%-95% depending on the criteria.
Objective: The purpose of this study was to assess the feasibility and efficacy of intraprocedural transthoracic echocardiographic guidance to achieve LBB capture.
Assessing Interpectoral Nerve Block for Postoperative Pain Management in Reduction Mammaplasty Surgery: A Case-control Study.
Plast Reconstr Surg Glob Open
December 2024
From the Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli," Naples, Italy.
Background: Reduction mammaplasty surgery is a commonly performed procedure in plastic surgery, offering significant improvements in quality of life. However, the postoperative period may be accompanied by considerable pain. In this study, we assess the impact of interpectoral block on reducing postoperative pain.
View Article and Find Full Text PDFRegional Anesthesia With Pectoral Blocks as a Non-inferior Approach for Mastectomy Analgesia: A Quality Improvement Study.
Cureus
November 2024
Nursing, Spartanburg Regional Healthcare System, Spartanburg, USA.
Introduction Breast cancer is one of the most common female malignancies in the United States and often necessitates surgical interventions that carry a substantial risk of postoperative pain. Pectoral nerve blocks have emerged as a simpler alternative for providing regional perioperative analgesia to the chest wall in breast cancer surgery. This retrospective study evaluated the impact of implementing a novel regional anesthesia protocol centering on the use of pectoral nerve blocks for patients undergoing radical mastectomy at a small regional hospital in Spartanburg, South Carolina.
View Article and Find Full Text PDFDiagnosis of in a fledgling kererū ().
N Z Vet J
December 2024
Diagnostic and Surveillance Services, Biosecurity New Zealand, Ministry for Primary Industries, Wellington, New Zealand.
In early summer, a wild fledgling kererū () was admitted to a wildlife hospital in Dunedin after falling from its nest and being found on the ground. The bird was underweight, weighing only 391 g (expected weight > 450 g), and determined to be in poor body condition based on palpation of pectoral muscle mass. There was bilateral periorbital swelling and ocular discharge with caseous material blocking the choana.
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