49th Annual Regional Anesthesiology and Acute Pain Medicine Meeting

Effect of Local Anesthetic Choice for Interpectoral and Subpectoral Nerve Blocks on Patients Undergoing Bilateral Mastectomy

Presenter: Shane Barre D.O. D.ABA

Co-Authors: Evida Mars-Holt M.D., Imane Forbes MSIII, Sanjib Adhikary, M.D.

Introduction:

•Interpectoral and Subpectoral Nerve blocks have been proven to be effective for patients undergoing mastectomy

•Little is known about optimal local anesthetic choice for these blocks

Methods:

•Prospective observational study.

•Patients undergoing bilateral mastectomy received interpectoral and subpectoral nerve blocks post-induction

•Patients received either a combination of bupivacaine and liposomal bupivacaine or tetracaine 0.2%, lidocaine 0.4% and epinephrine

•Data was collected postoperatively via EHR and postoperative phone call regarding pain scores, opioid consumption, and PONV for 3 days

Results:

•No significant difference was found between the two groups when looking at postoperative pain scores, opioid consumption, and PONV during first three postoperative days

49th Annual Regional Anesthesiology and Acute Pain Medicine Meeting

EFFICACY OF PAIN MANAGEMENT STRATEGIES FOR BILATERAL MASTECTOMY

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