000			02949cam a2200349 a 4500
003			EG-GiCUC
005			20250223031810.0
008			170923s2016 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.19.01.Ph.D.2016.Re.U
100	0		_aReham Mohamed Gamal Abdelaziz Sadek
245	1	0	_aUltrasound guided modified pectoral nerves block versus thoracic paravertebral block for perioperative analgesia in major breast surgery / _cReham Mohamed Gamal Abdelaziz Sadek ; Supervised Somia Mohamed Abdelaziz Elsheikh , Azza Fouad Abdo Omran , Ghada Mohamed Nabih Ahmed
246	1	5	_aمقارنه بين استخدام الموجات فوق الصوتيه لسد الاعصاب الصدريه و الاعصاب المجاوره للفقرات الصدريه بعد استئصال الثدى
260			_aCairo : _bReham Mohamed Gamal Abdelaziz Sadek , _c2016
300			_a94 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - National Cancer Institute - Department of Anaesthesia and Pain Relief
520			_aPatients undergoing breast surgery require a multimodal postoperative pain treatment regimen that provides high quality analgesia with minimal side effects. The neural supply of the anatomical structures involved in breast surgery is not well understood when it comes to providing analgesia for perioperative pain relief. Paravertebral block became the gold standard techniques to achieve this goal, but not every anesthesiologist is comfortable performing these procedures. As an alternative for these techniques we designed pectoral nerve block.1. Thoracic wall blocks (PECS I, PECS II and Serratus plane block) are peripheral nerve block alternatives to paravertebral block for providing both surgical anesthesia and postoperative analgesia for breast surgery. The Pecs block is a recently described, easy and reliable superficial block that targets the lateral and median pectoral nerves at an interfascial plane between the pectoralis major and minor muscles. It can be used for different breast operations, Other potential indications are traumatic chest injuries, iatrogenic pectoral muscle dissections, pacemakers, Portacaths and chest drains.3. The modified PECS block produces excellent analgesia and can be used to provide a balanced anesthesia and as a rescue block in cases where the analgesia provided by the paravertebral or epidural was patchy or ineffective.2
530			_aIssued also as CD
653		4	_aPec s block
653		4	_aThoracic paravertebral
653		4	_aUltrasound
700	0		_aAzza Fouad Abdo Omran , _eSupervisor
700	0		_aGhada Mohamed Nabih Ahmed , _eSupervisor
700	0		_aSomia Mohamed Abdelaziz Elsheikh , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aSamia _eCataloger
942			_2ddc _cTH
999			_c62458 _d62458