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Neural Blockade for Persistent Pain After Breast Cancer Surgery

Publikation: Bidrag til tidsskriftReviewForskningfagfællebedømt

Persistent pain after breast cancer surgery is predominantly a neuropathic pain syndrome affecting 25% to 60% of patients and related to injury of the intercostobrachial nerve, intercostal nerves, and other nerves in the region. Neural blockade can be useful for the identification of nerves involved in neuropathic pain syndromes or to be used as a treatment in its own right. The purpose of this review was to examine the evidence for neural blockade as a potential diagnostic tool or treatment for persistent pain after breast cancer surgery. In this systematic review, we found only 7 studies (n = 135) assessing blocks directed at 3 neural structures-stellate ganglion, paravertebral plexus, and intercostal nerves-but none focusing on the intercostobrachial nerve. The quality of the studies was low and efficacy inconclusive, suggesting a need for well-designed, high-quality studies for this common clinical problem.

OriginalsprogEngelsk
TidsskriftRegional Anesthesia and Pain Medicine
Vol/bind39
Udgave nummer4
Sider (fra-til)272-278
Antal sider7
ISSN1098-7339
DOI
StatusUdgivet - 12 jun. 2014

ID: 138219545