title: Pectoral Nerve and Transverse Abdominis Plane Block in a Patient Undergoing Mastectomy With Transverse Rectus Abdominis Muscle Flap: A Case Report.
abstract: Postoperative nausea, vomiting, and pain present considerable concerns after reconstructive breast surgery. We present a case report of a 65-year-old woman with a history of severe postoperative nausea and vomiting, presenting for unilateral mastectomy with transverse rectus abdominis muscle flap. We performed unilateral pectoral nerve block and transverse abdominis plane block, which provided 24 hours of pain control and mitigated nausea and vomiting during the postoperative period.
authors.affiliation: From the Department of Anesthesiology, H. Lee Moffitt Cancer Center, Tampa, Florida.
authors.forename: Sephalie Y
authors.initials: SY
authors.lastname: Patel
authors.forename: Raymond M
authors.initials: RM
authors.lastname: Evans
authors.forename: Rosemarie E
authors.initials: RE
authors.lastname: Garcia Getting
authors.forename: Pilar
authors.initials: P
authors.lastname: Suz
mesh_terms: D000368:Aged; D000779:Anesthetics, Local / Q000008:administration & dosage; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy / Q000379:methods*; D009407:Nerve Block / Q000379:methods*; D010149:Postoperative Pain / Q000517:prevention & control*; D020250:Postoperative Nausea and Vomiting / Q000517:prevention & control; D017568:Rectus Abdominis / Q000637:transplantation*; D013524:Surgical Flaps; D013900:Thoracic Nerves
chemical_list: D000779:Anesthetics, Local