Synergistic Effects of Dexamethasone and Dexmedetomidine in Extending the Effects of Pectoral I and Pectoral II Blocks for Postoperative Analgesia Following Total Mastectomy with Lymph Node Dissection
Abstract
:1. Introduction
2. Case Description
3. Discussion
4. Conclusions
Author Contributions
Funding
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Kettner, S.C.; Willschke, H.; Marhofer, P. Does regional anaesthesia really improve outcome? Br. J. Anaesth. 2011, 107, i90–i95. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Blanco, R. The ‘pecs block’: A novel technique for providing analgesia after breast surgery. Anaesthesia 2011, 66, 847–848. [Google Scholar] [CrossRef] [PubMed]
- Blanco, R.; Fajardo, M.; Maldonado, T.P. Ultrasound description of Pecs II (modified Pecs I): A novel approach to breast surgery. Rev. Esp. Anest. Reanim. 2012, 59, 470–475. [Google Scholar] [CrossRef] [PubMed]
- Kim, D.-H.; Kim, S.; Kim, C.S.; Lee, S.; Lee, I.-G.; Kim, H.J.; Lee, J.-H.; Jeong, S.-M.; Choi, K.T. Efficacy of pectoral nerve block type II for breast-conserving surgery and sentinel lymph node biopsy: A prospective randomized controlled study. Pain Res. Manag. 2018, 2018, 1–8. [Google Scholar] [CrossRef] [PubMed]
- Kim, S.Y.; Avila, J.; Lee, J.; Lee, T.; Macres, S.; Applegate, R.L.; Wilson, M.D.; Zhou, J. Impact of preoperative pectoralis plane nerve blocks for mastectomy on perioperative opioid consumption: A retrospective study. Pain Manag. 2020, 10, 159–165. [Google Scholar] [CrossRef] [PubMed]
- Kim, A.J.; Yong, R.J.; Urman, R.D. The role of transversus abdominis plane blocks in enhanced recovery after surgery pathways for open and laparoscopic colorectal surgery. J. Laparoendosc. Adv. Surg. Tech. 2017, 27, 909–914. [Google Scholar] [CrossRef] [PubMed]
- Chen, Q.; An, R.; Zhou, J.; Yang, B. Clinical analgesic efficacy of dexamethasone as a local anesthetic adjuvant for transversus abdominis plane (TAP) block: A meta-analysis. PLoS ONE 2018, 13, e0198923. [Google Scholar] [CrossRef] [PubMed]
- Herman, J.; Urits, I.; Hasoon, J.; Viswanath, O.; Kaye, A.D.; Urman, R.D.; Eskander, J.P. Synergistic effect of local dexamethasone and dexmedetomidine (Dex-Dex) in extending the analgesic effect of a transversus abdominis plane block prior to inguinal hernia repair. J. Clin. Anesth. 2020, 62, 109703. [Google Scholar] [CrossRef] [PubMed]
- Herman, J.; Urits, I.; Urman, R.D.; Kaye, A.D.; Viswanath, O.; Eskander, J.P. Synergistic effect of perineural dexamethasone and dexmedetomidine (Dex-Dex) in extending the analgesic duration of a transversus abdominis plane block. J. Clin. Anesth. 2020, 63, 109750. [Google Scholar] [CrossRef] [PubMed]
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Share and Cite
Chitneni, A.; Hasoon, J.; Urits, I.; Viswanath, O.; Kaye, A.D.; Eskander, J. Synergistic Effects of Dexamethasone and Dexmedetomidine in Extending the Effects of Pectoral I and Pectoral II Blocks for Postoperative Analgesia Following Total Mastectomy with Lymph Node Dissection. Clin. Pract. 2021, 11, 190-192. https://doi.org/10.3390/clinpract11020027
Chitneni A, Hasoon J, Urits I, Viswanath O, Kaye AD, Eskander J. Synergistic Effects of Dexamethasone and Dexmedetomidine in Extending the Effects of Pectoral I and Pectoral II Blocks for Postoperative Analgesia Following Total Mastectomy with Lymph Node Dissection. Clinics and Practice. 2021; 11(2):190-192. https://doi.org/10.3390/clinpract11020027
Chicago/Turabian StyleChitneni, Ahish, Jamal Hasoon, Ivan Urits, Omar Viswanath, Alan D. Kaye, and Jonathan Eskander. 2021. "Synergistic Effects of Dexamethasone and Dexmedetomidine in Extending the Effects of Pectoral I and Pectoral II Blocks for Postoperative Analgesia Following Total Mastectomy with Lymph Node Dissection" Clinics and Practice 11, no. 2: 190-192. https://doi.org/10.3390/clinpract11020027
APA StyleChitneni, A., Hasoon, J., Urits, I., Viswanath, O., Kaye, A. D., & Eskander, J. (2021). Synergistic Effects of Dexamethasone and Dexmedetomidine in Extending the Effects of Pectoral I and Pectoral II Blocks for Postoperative Analgesia Following Total Mastectomy with Lymph Node Dissection. Clinics and Practice, 11(2), 190-192. https://doi.org/10.3390/clinpract11020027