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- W2029306051 abstract "La chirurgie carcinologique du sein est très fréquente et source de douleurs chroniques. Plusieurs essais cliniques ont évalué l’intérêt de la kétamine, des modulateurs de la sous-unité α2δ des canaux calciques et des anesthésiques locaux avec des résultats qui demandent à être confirmés. Le bloc paravertébral est une excellente technique analgésique, qui permet le cas échéant d’effectuer la chirurgie et pourrait participer à la prévention de la survenue de métastases, cela devant aussi être confirmé. Breast cancer surgery is a very common surgical procedure. Chronic pain after breast surgery is frequent. Several clinical trials have pointed out the use of ketamine, α2δ calcium channel ligands and of local anaesthetic agents to prevent chronic pain after surgery, but results need to be confirmed. Thoracic paravertebral block provides excellent analgesia and allows to perform surgery without the need of general anaesthetics. Retrospective studies have suggested that paravertebral block may improve patient survival and decrease the incidence of metastasis, but they also need to be confirmed." @default.
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- W2029306051 date "2012-02-01" @default.
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- W2029306051 title "Chirurgie carcinologique du sein : anesthésie générale ou locorégionale ?" @default.
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- W2029306051 doi "https://doi.org/10.1016/j.pratan.2012.01.001" @default.
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