Clavipectoral fascial plane block for implantable cardioverter defibrillator implantation

Metinyurt, Hayri Fatih; Süğür, Tayfun; Kavakli, Ali Sait; Çağırcı, Göksel

doi:10.1016/j.jclinane.2021.110197

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…Magalhães et al noticed good analgesia with CPB when used as an adjunct to GA in clavicle surgery [27]. Furthermore, the utility of CPB in breast surgery was explained by Tulgar et al [28] and in the cardiovascular implantable electronic device placement by Metinyurt et al [29]. Effective analgesia can be achieved with CPB when combined with SCPB as per Rosales et al [30] or and supraclavicular nerve block (SCNB) as per Gonçalves et al [31].…”

Section: Review Of Literaturementioning

confidence: 99%

Awake Single-Stage Bilateral Clavicle Surgeries Under a Bilateral Clavipectoral Fascial Plane Block: A Case Report and Review of Literature

Sonawane¹,

Dharmapuri²,

Saxena³

et al. 2021

Cureus

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The clavicle is a frequently fractured bone with an infrequent bilateral occurrence. Regional anesthesia (RA) for clavicle surgeries is always challenging due to its complex innervation arising from the two plexuses (cervical and brachial). Various RA techniques described for clavicle surgeries include plexus blocks, fascial plane blocks, and truncal blocks. Plexus blocks are associated with undesirable effects, such as phrenic nerve blockade and paralysis of the entire upper limb, limiting their application for bilateral regional clavicle surgeries. The clavipectoral fascial plane block (CPB) is a novel, procedure-specific, phrenic-sparing, and motor-sparing RA technique that can provide anesthesia or analgesia for clavicle surgeries. The decision to use the CPB and/or other RA techniques may depend on the site of clavicle injury or variations in clavicular innervation.We report a case of single-stage bilateral clavicle surgery successfully managed with a bilateral CPB alone using ultrasound guidance and landmark guidance separately. The patient was kept awake and comfortable throughout the surgery.In conclusion, CPB can be an effective alternate RA technique in avoiding undesired side effects of more proximal techniques such as phrenic nerve involvement and motor blockade of upper limbs. Landmarkguided CPB can be an alternative with equianalgesic efficacy as of ultrasound-guided CPB in resource-poor or emergency settings.

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Section: Review Of Literaturementioning

confidence: 99%

Awake Single-Stage Bilateral Clavicle Surgeries Under a Bilateral Clavipectoral Fascial Plane Block: A Case Report and Review of Literature

Sonawane¹,

Dharmapuri²,

Saxena³

et al. 2021

Cureus

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“…It has been reported in a few studies and case reports that some truncal blocks could provide adequate surgical anesthesia and postoperative analgesia in CIED insertion. [3][4][5][6][7][8][9] Pectoral nerve (PECS) blocks (PECS I and PECS II) were introduced by Blanco and were seen to provide effective analgesia after breast surgery. 10,11 The PECS I block is a single plane block that provides analgesia of the lateral surface of the breast and chest wall after local anesthetic applied between the fascia of the pectoralis major and minor muscles.…”

Section: Introductionmentioning

confidence: 99%

“…Peripheral nerve block techniques may be considered for CIED insertion because the patients requiring CIED are usually high‐risk for general anesthesia and therefore, the possible adverse effects of general anesthesia may need to be avoided. It has been reported in a few studies and case reports that some truncal blocks could provide adequate surgical anesthesia and postoperative analgesia in CIED insertion 3–9 …”

Section: Introductionmentioning

confidence: 99%

PECS II block for cardiac implantable electronic device insertion: A pilot study

Kilin,

Kavakli,

Karaveli

et al. 2023

Pacing Clinical Electrophis

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AimSome truncal blocks could provide adequate surgical anesthesia and postoperative analgesia in cardiac implantable electronic devices (CIED) insertion. The aim of this study was to evaluate the feasibility of the pectoral nerves (PECS) II block for CIED insertion.MethodsPECS II blocks were performed on the left side using the ultrasound‐guided single injection technique in all patients. The primary outcome for feasibility was the percentage of the cases completed without intraoperative additional local anesthesia. Secondary outcomes were the amount of intraoperative additional local anesthetic, intraoperative opioid requirement, postoperative pain scores, first requirement for postoperative analgesia, postoperative analgesic consumption, patient satisfaction, and block‐related complications.ResultsOf the total 30 patients, 19 (63.3%) required intraoperative additional local anesthetic. The median (IQR [range]) volume of the additional local anesthetic used was 7 (4‐10 [2.5‐12]) mL. Two patients needed additional IV analgesics in the first 24 h postoperatively. No statistically significant differences were determined between the patients requiring and not requiring intraoperative additional local anesthetic in respect of age, gender, duration of surgery, block performance time, and hospital stay. A total of 26 (86.6%) patients reported a high level of satisfaction with the procedure.ConclusionsPECS II block for cardiac electronic implantable device insertion provides effective postoperative analgesia for at least 24 h. Although PECS II block alone could not provide complete surgical anesthesia in the majority of the patients, when combined with supplementary local anesthetic, contributes to a smooth intraoperative course for patients.

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Surgical Placement of Axillary Impella 5.5 With Regional Anesthesia and Monitored Anesthesia Care

Cohen

Patel

Grosh

et al. 2023

Journal of Cardiothoracic and Vascular Anesthesia

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Clavipectoral fascial plane block for implantable cardioverter defibrillator implantation

Cited by 3 publications

References 8 publications

Awake Single-Stage Bilateral Clavicle Surgeries Under a Bilateral Clavipectoral Fascial Plane Block: A Case Report and Review of Literature

Awake Single-Stage Bilateral Clavicle Surgeries Under a Bilateral Clavipectoral Fascial Plane Block: A Case Report and Review of Literature

PECS II block for cardiac implantable electronic device insertion: A pilot study

Surgical Placement of Axillary Impella 5.5 With Regional Anesthesia and Monitored Anesthesia Care

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