Assessing Effects of Preoperative Nerve Block on Pain and Opioid Use after Breast Reduction: Methodological Issues
Journal of plastic, reconstructive & aesthetic surgery(2022)
摘要
By a prospective non-randomized cohort study with 2 arms including 57 patients who underwent breast reduction mammoplasty, LaFontaine et al. 1 LaFontaine S.N. Yao A. Hwang L.K. Draper L. Benacquista T. Garfein E.S. Weichman K.E. Postoperative pain and opioid use after breast reduction with or without preoperative nerve block. J Plast Reconstr Aesthet Surg. 2021 Nov 29; https://doi.org/10.1016/j.bjps.2021.11.089 Abstract Full Text Full Text PDF Scopus (0) Google Scholar assessed the effects of preoperative erector spinae nerve blocks on postoperative pain, opioid consumption and quality of life. They showed that nerve block did not improve pain control and decrease opioid consumption during the postoperative first five days. Their results are significantly inconsistent with the findings of a recent meta-analysis evaluating the efficacy of nerve blocks for pain control after breast surgery, in which nerve blocks can improve postoperative analgesia and decrease opioid consumption. 2 Asserson D.B. Sahar D.E. Reducing pain and opioid consumption after body contouring of the breast by application of a perioperative nerve block: a systematic review. Arch Plast Surg. 2021; 48: 361-365 Crossref PubMed Scopus (0) Google Scholar Other than the limitations described by the authors in discussion, there are other methodological issues in the design of this study on which we would like to invite the authors to comment. Postoperative pain and opioid use after breast reduction with or without preoperative nerve blockJournal of Plastic, Reconstructive & Aesthetic SurgeryPreviewPhysician-prescribed opioids have been implicated as key contributing factors in the current opioid epidemic in the United States. Breast reduction mammoplasty is one of the most commonly performed procedures in plastic surgery and patients are often prescribed large amounts of postoperative opioids. Here we investigate the effects of erector spinae nerve blocks on postoperative pain, opioid consumption, and quality of life after breast reduction. Full-Text PDF
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关键词
Nerve block,Postoperative analgesia,Breast reduction,Outcomes
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