DOI: 10.36347/sjams.2023.v11i08.027

Pages: 1538-1543

Background: Modified radical mastectomy surgery results in high morbidity and patient dissatisfaction due to incomplete postoperative pain relief. The most frequent malignancy among women worldwide is breast cancer. Objectives: The aim of this study was to assess effectiveness of ultrasonography-guided Pectoral nerve block for postoperative analgesia after Modified radical mastectomy. Methods: This descriptive type of cross-sectional study was carried out in the Department of Anaesthesia, Analgesia, Palliative and Intensive Care Medicine in collaboration with department of surgery, Dhaka Medical College & Hospital, Dhaka during July 2021 to June 2022. A total of 28 patients were participate in this study. Purposive sampling technique was followed. After taking consent and matching eligibility criteria, data were collected from patients using the predesigned structured questionnaire by interview. Statistical analyses of the results were obtained by using window-based Microsoft Excel and Statistical Packages for Social Sciences (SPSS-25). Results: Mean age of patient was 54.7 ± 7.3 years majority belonged to 50-59 years of age (39.2%). Maximum patient had ASA Class II (60.7%). In case of staging of the cancer 39.2% were in stage I and 60.8% were in stage II. Average duration of surgery was 119.4 ± 14.2 minutes. The mean VAS score of the patients at 2nd hrs was 0.52±0.2, at 4th hrs was 0.65±0.3, at 6th hrs was 1.12±0.6, at 8th hrs was 2.31±1.35, at 10th hrs was 3.34±1.45, at 12th hrs was 4.83±1.40, at 14th hrs was 2.24±1.30, at 16th hrs, at 18th hrs 2.74±1.65, at 20th hrs was 4.48±1.70 and at 24th hrs was 2.28±1.80. the mean 1st analgesic demand (hour) was 12.2±2.1 and the Total opioid consumption (mg) was 165.7±18.2. Conclusion: For postoperative pain management after breast surgery, various procedures have been employed, including local anesthetic infiltration, intercostal nerve block, thoracic epidural block, and paravertebral block. They might not be appropriate ..