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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

1
Department of Anesthesiology, A.T. Still University School of Osteopathic Medicine in Arizona, Mesa, AZ 63501, USA
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Department of Anesthesiology, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USA
3
Valley Anesthesiology and Pain Consultants, Envision Physician Services, Phoenix, AZ 85014, USA
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Department of Anesthesiology, University of Arizona College of Medicine Phoenix, Phoenix, AZ 85724, USA
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Department of Anesthesiology, Creighton University School of Medicine, Omaha, NE 68178, USA
6
Department of Anesthesiology, Louisiana State University Health Shreveport, Shreveport, LA 71115, USA
7
Anesthesiology and Pain Medicine, Portsmouth Anesthesia Associates, Portsmouth, VA 23707, USA
*
Author to whom correspondence should be addressed.
Clin. Pract. 2021, 11(2), 190-192; https://doi.org/10.3390/clinpract11020027
Received: 4 December 2020 / Revised: 2 February 2021 / Accepted: 1 March 2021 / Published: 30 March 2021
Regional anesthesia is an important aspect of the overall anesthetic plan for patients. It has the potential to offer superior benefits compared to opioid-based treatment and is an important component of Enhanced Recovery after Surgery (ERAS) protocols. The use of the pectoral type I (PECS I) and pectoral type II blocks (PECS II) has been shown to reduce postoperative pain and opioid consumption in patients undergoing complete mastectomy and breast surgery. We describe the use of dexamethasone and dexmedetomidine to prolong the analgesic effects of these regional blocks in a patient undergoing total mastectomy with lymph node dissection. View Full-Text
Keywords: regional anesthesia; acute pain; PECs block; ERAS regional anesthesia; acute pain; PECs block; ERAS
MDPI and ACS Style

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

AMA Style

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 Style

Chitneni, Ahish; Hasoon, Jamal; Urits, Ivan; Viswanath, Omar; Kaye, Alan D.; Eskander, Jonathan. 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" Clin. Pract. 11, no. 2: 190-192. https://doi.org/10.3390/clinpract11020027

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