Kline Jonathan, Lee Wayne, Wofford Ken
Twin Oaks Anesthesia, LLC, Wesley Chapel, Fla.
Wayne Lee Plastic Surgery Center.
Plast Reconstr Surg Glob Open. 2020 Feb 26;8(2):e2646. doi: 10.1097/GOX.0000000000002646. eCollection 2020 Feb.
In 2018, a novel approach to reduce pectoralis spasm from sub- pectoral breast implant surgery was published called the INTRAPEC.1 In this study, we more formally examine the effectiveness of the ultrasound-guided INTRAPEC injection to control postoperative pectoralis major spasm and pain following breast surgery with sub-pectoral implantation.
We employed a simple postoperative spasm and pain record to collect data on 17 patients, all of whom received INTRAPEC and erector spinae plane blocks as a part of an opioid- free anesthetic. All breast surgeries were completed with LMA general anesthesia, preserving spontaneous ventilation.
Of the 17 study participants, 13 (76.4%) reported spasm scores less than 3 for the entire 2-day study period and, at most time points, patients reported a median score for pain of 2, with IQRs ranging from 1 to 7.
The study results suggest that the INTRAPEC injection is a simple, low-cost, low-risk, and effective technique that controls post- operative spasm following breast surgery involving sub-pectoral implantation.
2018年，一种减少胸肌下乳房植入手术中胸肌痉挛的新方法被发表，称为INTRAPEC.1。在本研究中，我们更正式地研究了超声引导下INTRAPEC注射在控制胸肌下植入乳房手术后胸大肌痉挛和疼痛方面的有效性。
我们采用简单的术后痉挛和疼痛记录来收集17例患者的数据，所有患者均接受INTRAPEC和竖脊肌平面阻滞，作为无阿片类麻醉的一部分。所有乳房手术均在喉罩全身麻醉下完成，保留自主通气。
在17名研究参与者中，13名（76.4%）在整个2天的研究期间报告痉挛评分低于3，并且在大多数时间点，患者报告的疼痛中位数评分为2，四分位间距为1至7。
研究结果表明，INTRAPEC注射是一种简单、低成本、低风险且有效的技术，可控制胸肌下植入乳房手术后的痉挛。
