• J González-García, A González-Bada, J M López-Ramos, M A Echevarria-Correas, M B G Muñecas-Herreras, and L Aguilera-Celorrio.
• Servicio de Anestesia y Reanimación, Hospital Universitario Basurto, Bilbao, Vizcaya, España. Electronic address: joseba.gonzalez.garcia@hotmail.com.
• Rev Esp Anestesiol Reanim. 2019 Mar 1; 66 (3): 137-143.

ObjectiveThe objective of this study is to determine whether the accomplishment of an interfascial blockade, the blocking of the cutaneous branches of the intercostal nerves in the axillary line (BRILMA) associated with a multimodal analgesic regimen improves post-operative analgesia and allows saving opioids after non-reconstructive surgery of breast.Material And MethodsA prospective, randomised and simple blind study was conducted on patients that underwent non-reconstructive breast surgery. The patients were randomly assigned to the blocking group, or to the standard post-operative analgesia group (paracetamol and dexketoprofen). The main variables analysed were the pain intensity assessed by the verbal numerical scale and the analgesic rescue needs with tramadol.ResultsStatistically significant differences were observed in the consumption of tramadol during the study period (10.5mg in the BRILMA group, compared to 34.3 in the control group, P=.0001). There were also differences in the pain assessment, with lower values found in the BRILMA group.ConclusionsIn non-reconstructive breast surgery, performing a BRILMA block allows obtaining lower pain scores, which implies less need for rescue analgesics and a significant saving of tramadol in the study period.Copyright © 2018 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

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