Evidence map›Paper›PMID 36045918›Full record

ArticleFrontiers in medicine2022

Efficacy of PECS block in addition to multimodal analgesia for postoperative pain management in patients undergoing outpatient elective breast surgery: A retrospective study.

Alberto A Uribe, Tristan E Weaver, Marco Echeverria-Villalobos, Luis Periel, Joshua Pasek, Juan Fiorda-Diaz, Marilly Palettas, Roman J Skoracki, Stephen J Poteet, Jarrett A Heard

Open access · goldAbstract read
In one paragraph

Article in Frontiers in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Alberto A UribeDepartment of Anesthesiology, The Ohio State University Medical Center, Columbus, OH, United States.
Tristan E WeaverDepartment of Anesthesiology, The Ohio State University Medical Center, Columbus, OH, United States.
Marco Echeverria-VillalobosDepartment of Anesthesiology, The Ohio State University Medical Center, Columbus, OH, United States.
Luis PerielDepartment of Anesthesiology, The Ohio State University Medical Center, Columbus, OH, United States.
Joshua PasekDepartment of Anesthesiology, The Ohio State University Medical Center, Columbus, OH, United States.
Juan Fiorda-DiazDepartment of Anesthesiology, The Ohio State University Medical Center, Columbus, OH, United States.
Marilly PalettasDepartment of Biomedical Informatics, The Ohio State University, Center of Biostatistics, Columbus, OH, United States.
Roman J SkorackiDepartment of Plastic Surgery, The Ohio State University Medical Center, Columbus, OH, United States.
Stephen J PoteetDepartment of Plastic Surgery, The Ohio State University Medical Center, Columbus, OH, United States.
Jarrett A HeardDepartment of Anesthesiology, The Ohio State University Medical Center, Columbus, OH, United States.
The Ohio State University · USThe Ohio State University Wexner Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pectoralis nerve blocks (PECS) have been shown in numerous studies to be a safe and effective method to treat postoperative pain and reduce postoperative opioid consumption after breast surgery. However, there are few publications evaluating the PECS block effectiveness in conjunction with multimodal analgesia (MMA) in outpatient breast surgery. This retrospective study aims to evaluate the efficacy of PECS's blocks on perioperative pain management and opioid consumption. Methods: We conducted a retrospective study to assess the efficacy of preoperative PECS block in addition to preoperative MMA (oral acetaminophen and/or gabapentin) in reducing opioid consumption in adult female subjects undergoing outpatient elective breast surgery between 2015 and 2020. A total of 228 subjects were included in the study and divided in two groups: PECS block group (received PECS block + MMA) and control Group (received only MMA). The primary outcome was to compare postoperative opioid consumption between both groups. The secondary outcome was intergroup comparisons of the following: postoperative nausea and vomiting (PONV), incidence of rescue antiemetic medication, PACU non-opioid analgesic medication required, length of PACU stay and the incidence of 30-day postoperative complications between both groups. Results: Two hundred and twenty-eight subjects ( Conclusion: PECS block combined with MMA may not reduce intraoperative and/or PACU opioid consumption in patients undergoing outpatient elective breast surgery.

Indexed as

analgesicsbreast surgerynerve blockopioidPECSregional anesthesia

Identifiers

PMID36045918
PMCPMC9420942
OpenAlexW4291378084

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.