Addition of transversus thoracic muscle plane block to pectoral nerves block provides more effective perioperative pain relief than pectoral nerves block.

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Addition of transversus thoracic muscle plane block to pectoral nerves block provides more effective perioperative pain relief than pectoral nerves block alone for breast cancer surgery  H Ueshima, H Otake  British Journal of Anaesthesia  Volume 118, Issue 3, Pages 439-443 (March 2017) DOI: 10.1093/bja/aew449 Copyright © 2017 The Author(s) Terms and Conditions

Fig 1 Ultrasoud appearance of 15 ml of local anaesthetic solution filling the transversus thoracic muscle plane. IIM, internal intercostal muscle; LA, local anaesthetic; NT, needle tip; P, pleura; TTM, transversus thoracic muscle. British Journal of Anaesthesia 2017 118, 439-443DOI: (10.1093/bja/aew449) Copyright © 2017 The Author(s) Terms and Conditions

Fig 2 Flowchart of this study. British Journal of Anaesthesia 2017 118, 439-443DOI: (10.1093/bja/aew449) Copyright © 2017 The Author(s) Terms and Conditions

Fig 3 Postoperative visual analog scale (VAS) scores (in millimetres) at 1, 2, 4, 6, 12 and 24 h at rest. Data are expressed as the median (range). *P < 0.0001. British Journal of Anaesthesia 2017 118, 439-443DOI: (10.1093/bja/aew449) Copyright © 2017 The Author(s) Terms and Conditions

Fig 4 Postoperative visual analog scale (VAS) scores (in millimetres) at 12 and 24 h during movement. Data are expressed as the median (range). *P < 0.0001. British Journal of Anaesthesia 2017 118, 439-443DOI: (10.1093/bja/aew449) Copyright © 2017 The Author(s) Terms and Conditions