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Pectoral Nerve and Transverse Abdominis Plane Block in a Patient Undergoing Mastectomy With Transverse Rectus Abdominis Muscle Flap: A Case Report

Patel, Sephalie Y. MD; Evans, Raymond M. MD; Garcia Getting, Rosemarie E. MD; Suz, Pilar MD

doi: 10.1213/XAA.0000000000000468
Case Reports: Case Report

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.

From the Department of Anesthesiology, H. Lee Moffitt Cancer Center, Tampa, Florida.

Accepted for publication October 28, 2016.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Sephalie Y. Patel, MD, Department of Anesthesiology, H. Lee Moffitt Cancer Center, 12902 Magnolia Dr, Tampa, FL 33612. Address e-mail to

© 2017 International Anesthesia Research Society
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