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العنوان
The perioperative analgesic effect of modified pectoral nerves block versus ketamine plus magnesium infusion in major breast cancer surgeries :
الناشر
Hamed Sayed Ashour Ali ,
المؤلف
Hamed Sayed Ashour Ali
هيئة الاعداد
باحث / Hamed Sayed Ashour Ali
مشرف / Amel Hanafy Aboelela
مشرف / Sahar Abdelhaleem Mohamed
مشرف / Mohamed Elsayed Hassan
تاريخ النشر
2017
عدد الصفحات
117 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التخدير و علاج الألم
تاريخ الإجازة
29/8/2018
مكان الإجازة
جامعة القاهرة - كلية الطب - Anesthesia
الفهرس
Only 14 pages are availabe for public view

from 134

from 134

Abstract

Breast cancer is the most common cancer in women. It represents about (38.8%) of all types of cancer affecting female in Egypt. Postoperative pain is one of the greatest patient concerns following any surgery. Patients undergoing breast surgery require a multimodal postoperative pain treatment regimen that provides high quality analgesia with minimal side effects. Until now, the routine practice in oncologic breast surgeries is that they are typically performed under general anesthesia (GA) with intraoperative and postoperative use of parenteral opioid. However, this technique cannot provide adequate postoperative pain control and routine use of parenteral opioids aggravate postoperative sedation, nausea, emesis, impaired oxygenation and depressed ventilation. Many studies have been carried out trying to find a solution for these dilemma thus different analgesic modalities as local infiltration of the surgical field, systemic analgesia, neuro-axial blocks, and nerve blocks