Abstract
Acute postoperative pain and shoulder immobility is a usual complication following breast surgeries. Many technique are used to reduce the postoperative pain, thoracic paravertebral.
Highlights
Acute postoperative pain and shoulder immobility is a usual complication following breast surgeries
Intraoperative vital data in the form of heart rate (HR) and mean arterial blood pressure (MAP) showed highly significant decrease of the heart rate in the magnesium group (P≤0.001) after 30 minutes from the block till 2 hours after the block compared to the control group, in addition to significant decrease in MAP (P = 0.036) after the block by 30 minutes
Postoperative vitals showed significant decrease of HR (P=0.016) in magnesium group 4 hours after surgery till the following day, highly significant decrease in RR (P
Summary
Acute postoperative pain and shoulder immobility is a usual complication following breast surgeries. Blocking the pectoral nerve (PEC I) provides intraoperative and postoperative pain control during breast surgery. The PECs II block is more effective and used widely because it blocks the long thoracic and the thoraco-dorsal nerves in addition to the lateral branches of the intercostals nerves that present at the level of the mid axillary line innervating mammary gland and T2 to T6 overlying skin [2]. Breast surgeries are associated with post-operative pain and restricted shoulder mobility, so the aim of this study is to assess the analgesic efficiency and safety of Continuous Pectorals II (PECs) block by adding magnesium to bupivacaine as an adjuvant versus bupivacaine as a sole agent in cases of simple mastectomy
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