PECS2 blocks for breast surgery: A case for multimodal anesthesia

Breast surgery is associated with moderate to severe postoperative pain, and high incidence of postoperative nausea and vomiting (PONV). If left untreated, it can lead to increased patients' suffering, a prolongation of hospital stay and related costs [1]. Failure to provide good postoperative analgesia is also associated with poor recovery and increased risk of developing chronic post-surgical pain (CPSP) [2]. The incidence of CPSP after breast surgery can be as high as 60% in some cases and acute postoperative pain is, in itself, an independent predictor of CPSP after breast surgery at 4 and 9months [2,3].

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