ArticleIndian journal of anaesthesia2025
Pectoral nerve block and pecto-intercostal fascial block versus thoracic paravertebral block for postoperative analgesia in modified radical mastectomy: A randomised controlled trial.
Article in Indian journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
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.
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Who cites it
2 citing papers in PubMed.
- Application of nerve blocks in breast surgery: evolution and prospects from efficacy comparison to multidimensional assessment and precision application.Frontiers in surgery · 2026Review
- Chronic sternal pain relief after a pecto-intercostal fascial plane block: A case report.Interventional pain medicine · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and Aims: Modified radical mastectomy (MRM) is associated with persistent postoperative pain. Paravertebral block (PVB) is the gold standard for postoperative analgesia. A pecto-intercostal fascial plane (PIFB) block added to the pectoral nerve block (Pecs) may provide effective analgesia. This trial aimed to compare the analgesic efficacy of Pecs-PIFB with PVB. Methods: Fifty American Society of Anesthesiologists (ASA) I/II patients scheduled for MRM were randomly assigned to receive either Pecs-PIFB block with 30 mL for Pecs block and 15 mL for PIFB or PVB block with 20 mL (0.2% ropivacaine). Postoperatively, intravenous (IV) morphine was administered through a patient-controlled analgesia (PCA) pump. The primary outcome was to compare the time to the first demand dose of rescue analgesic. The secondary outcomes were postoperative 24-hour opioid consumption, pain scores (30 mins and 1, 2, 4, 6, 12, and 24 h), patient satisfaction score (24 h), and block-related complications. The unpaired Results: Patients in the Group Pecs-PIFB had an increased median time to first demand dose: 440 [interquartile range (IQR): 360-540] versus 340 (IQR: 180-360) minutes ( Conclusion: Compared to thoracic PVB, the combination of Pecs and PIFB block prolonged the duration of analgesia and decreased postoperative opioid consumption in patients undergoing MRM surgeries. There was no statistical increase in complications in patients receiving this block.
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