TY - JOUR
T1 - Perioperative Breast Analgesia
T2 - A Qualitative Review of Anatomy and Regional Techniques
AU - Woodworth, Glenn E.
AU - Ivie, Ryan M.J.
AU - Nelson, Sylvia M.
AU - Walker, Cameron M.
AU - Maniker, Robert B.
N1 - Publisher Copyright:
© Lippincott Williams & Wilkins.
PY - 2017/9/1
Y1 - 2017/9/1
N2 - Breast surgery is exceedingly common and may result in significant acute as well as chronic pain. Numerous options exist for the control of perioperative breast pain, including several newly described regional anesthesia techniques, but anesthesiologists have an insufficient understanding of the anatomy of the breast, the anatomic structures disrupted by the various breast surgeries, and the theoretical and experimental evidence supporting the use of the various analgesic options. In this article, we review the anatomy of the breast, common breast surgeries and their potential anatomic sources of pain, and analgesic techniques for managing perioperative pain. We performed a systematic review of the evidence for these analgesic techniques, including intercostal block, epidural administration, paravertebral block, brachial plexus block, and novel peripheral nerve blocks.
AB - Breast surgery is exceedingly common and may result in significant acute as well as chronic pain. Numerous options exist for the control of perioperative breast pain, including several newly described regional anesthesia techniques, but anesthesiologists have an insufficient understanding of the anatomy of the breast, the anatomic structures disrupted by the various breast surgeries, and the theoretical and experimental evidence supporting the use of the various analgesic options. In this article, we review the anatomy of the breast, common breast surgeries and their potential anatomic sources of pain, and analgesic techniques for managing perioperative pain. We performed a systematic review of the evidence for these analgesic techniques, including intercostal block, epidural administration, paravertebral block, brachial plexus block, and novel peripheral nerve blocks.
UR - http://www.scopus.com/inward/record.url?scp=85028702667&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85028702667&partnerID=8YFLogxK
U2 - 10.1097/AAP.0000000000000641
DO - 10.1097/AAP.0000000000000641
M3 - Review article
C2 - 28820803
AN - SCOPUS:85028702667
SN - 1098-7339
VL - 42
SP - 609
EP - 631
JO - Regional anesthesia and pain medicine
JF - Regional anesthesia and pain medicine
IS - 5
ER -