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Pectoral nerve block (Pecs block) with sedation for breast conserving surgery without general anesthesia.

Authors
  • Moon, Eun-Jin1
  • Kim, Seung-Beom1
  • Chung, Jun-Young1
  • Song, Jeong-Yoon2
  • Yi, Jae-Woo1
  • 1 Department of Anesthesiology and Pain Medicine, College of Medicine, Kyung Hee University, Seoul, Korea. , (North Korea)
  • 2 Department of Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. , (North Korea)
Type
Published Article
Journal
Annals of surgical treatment and research
Publication Date
Sep 01, 2017
Volume
93
Issue
3
Pages
166–169
Identifiers
DOI: 10.4174/astr.2017.93.3.166
PMID: 28932733
Source
Medline
Keywords
License
Unknown

Abstract

Most regional anesthesia in breast surgeries is performed as postoperative pain management under general anesthesia, and not as the primary anesthesia. Regional anesthesia has very few cardiovascular or pulmonary side-effects, as compared with general anesthesia. Pectoral nerve block is a relatively new technique, with fewer complications than other regional anesthesia. We performed Pecs I and Pec II block simultaneously as primary anesthesia under moderate sedation with dexmedetomidine for breast conserving surgery in a 49-year-old female patient with invasive ductal carcinoma. Block was uneventful and showed no complications. Thus, Pecs block with sedation could be an alternative to general anesthesia for breast surgeries.

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