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KMID : 0371420170930030166
Annals of Surgical Treatment and Research
2017 Volume.93 No. 3 p.166 ~ p.169
Pectoral nerve block (Pecs block) with sedation for breast conserving surgery without general anesthesia
Moon Eun-Jin

Kim Seung-Beom
Chung Jun-Young
Song Jeong-Yoon
Yi Jae-Woo
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.
KEYWORD
Breast conserving surgery, Nerve block, Pectoral nerves
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