Usage Of Artificial Intelligence-Integrated Usg In Application of Pectoral Block In Mastectomies

After receiving the approval of the Clinical Research Ethics Committee of Başkent University (KA21/353), 70 patients with ASA I-II, between the ages of 18-75, who were scheduled for mastectomy surgery were included in the study. A 4. year anesthesiology resident under the supervision of two senior anesthesiologists, performed a PECS II block with AI-integrated USG or conventional USG (Group AI-USG and Group USG) after randomization. Although the resident had no experience with pectoral blocks, she had experience with the use of USG and regional anesthesia related to other trunk-area and peripheral blocks. The block was performed after induction of general anesthesia. Patient data in terms of hemodynamic changes in the intraoperative period, opioid (remifentanil) consumption, and postoperatively hemodynamics, pain scores (VAS), postoperative opioid [tramadol administered with a patient-controlled analgesia pump (PCA)] and, if necessary, rescue analgesic agent (non-steroidal antiinflammatory agent) consumption were monitored in the post anesthesia care unit (PACU), and at postoperative 6., 12. and 24.hours.

Inclusion criteria

• 18-70 years
• ASA I and II
• Female
• Underwent mastectomy surgery
• Without local anesthetic allergy

Exclusion criteria

• Patients with ASA III and above
• Obesity (body mass index >30)
• Psychotropic drug use
• Bleeding diathesis
• Local anesthetic allergy
• Chest wall deformity
• Infection at the injection site
• Chronic analgesic usage