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PECS II block is associated with lower incidence of chronic pain after breast surgery
De Cassai, Alessandro,Bonanno, Claudio,Sandei, Ludovica,Finozzi, Francesco,Carron, Michele,Marchet, Alberto The Korean Pain Society 2019 The Korean Journal of Pain Vol.32 No.4
Background: Breast cancer is complicated by a high incidence of chronic postoperative pain (25%-60%). Regional anesthesia might play an important role in lowering the incidence of chronic pain; however it is not known if the pectoral nerve block (PECS block), which is commonly used for breast surgery, is able to prevent this complication. Our main objective was therefore to detect any association between the PECS block and chronic pain at 3, 6, 9, and 12 months in patients undergoing breast surgery. Methods: We conducted a prospective, monocentric, observational study. We enrolled 140 consecutive patients undergoing breast surgery and divided them in patients receiving a PECS block and general anesthesia (PECS group) and patients receiving only general anesthesia (GA group). Then we considered both intraoperative variables (intravenous opioids administration), postoperative data (pain suffered by the patients during the first 24 postoperative hours and the need for additional analgesic administration) and development and persistence of chronic pain (at 3, 6, 9, and 12 mo). Results: The PECS group had a lower incidence of chronic pain at 3 months (14.9% vs. 31.8%, P = 0.039), needed less intraoperative opioids (fentanyl $1.61{\mu}g/kg/hr$ vs. $3.3{\mu}g/kg/hr$, P < 0.001) and had less postoperative pain (3 vs. 4, P = 0.017). Conclusions: The PECS block might play an important role in lowering incidence of chronic pain, but further studies are needed.
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Mechanical and electrical properties of a polyester resin reinforced with clay-based fillers
Dorel Buncianu,NicolasTessier-Doyen,Fabien Courreges,Joseph Absi,Pascal Marchet,Mihai Jadaneant 대한기계학회 2017 JOURNAL OF MECHANICAL SCIENCE AND TECHNOLOGY Vol.31 No.3
In this study, composite polymer-based materials were fabricated, in which a significant proportion of polyester resin was substituted by low-cost and environmentally-friendly clay-based raw materials. The main objective is to improve mechanical properties while maintaining a reasonable electrical insulating behavior. A homogenized distribution of fillers within the matrix compatible with the processing parameters was obtained up to a maximum added fraction of 20 vol%. Mechanical characterization using uniaxial traction tests and Charpy impact pendulum machine showed that stress-to-rupture can be enhanced of approximately 25 %. In addition, fracture energy was doubled for the best formulation. Dielectric constant was decreased and loss factor was slightly increased when electrical resistivity remained almost constant. In general, the composite materials with metakaolin fillers exhibited higher mechanical properties and greater electrical insulating behavior. Microstructural observation showed the presence of decohesive agglomerates of particles at the interface with the matrix. The mechanical properties were found to be more sensitive than electrical properties to the homogeneity of filler dispersion in the matrix.
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PECS II block is associated with lower incidence of chronic pain after breast surgery
Alessandro De Cassai,Claudio Bonanno,Ludovica Sandei,Francesco Finozzi,Michele Carron,Alberto Marchet 대한통증학회 2019 The Korean Journal of Pain Vol.32 No.4
Background: Breast cancer is complicated by a high incidence of chronic postoperative pain (25%-60%). Regional anesthesia might play an important role in lowering the incidence of chronic pain; however it is not known if the pectoral nerve block (PECS block), which is commonly used for breast surgery, is able to prevent this complication. Our main objective was therefore to detect any association between the PECS block and chronic pain at 3, 6, 9, and 12 months in patients undergoing breast surgery. Methods: We conducted a prospective, monocentric, observational study. We enrolled 140 consecutive patients undergoing breast surgery and divided them in patients receiving a PECS block and general anesthesia (PECS group) and patients receiving only general anesthesia (GA group). Then we considered both intraoperative variables (intravenous opioids administration), postoperative data (pain suffered by the patients during the first 24 postoperative hours and the need for additional analgesic administration) and development and persistence of chronic pain (at 3, 6, 9, and 12 mo). Results: The PECS group had a lower incidence of chronic pain at 3 months (14.9% vs. 31.8%, P = 0.039), needed less intraoperative opioids (fentanyl 1.61 μg/kg/hr vs. 3.3 μg/kg/hr, P < 0.001) and had less postoperative pain (3 vs. 4, P = 0.017). Conclusions: The PECS block might play an important role in lowering incidence of chronic pain, but further studies are needed.
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