Intraoperative placement of pectoral nerve block catheters description of a novel technique and review of the literature

Katharine M. Hinchcliff, Jared R. Hylton, Hakan Orbay, Michael S Wong

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Regional and neuraxial anesthesia for pain management after breast surgery is notwidely used despite data showing improved postoperative pain control and patient satisfaction scores.We report a case of a 61-year-old woman who underwent bilateral mastectomies, and received postoperative analgesia via pectoral nerves 1 and 2 nerve blocks. This case highlights a previously undescribed technique of prolonged postoperative pain control by intraoperative placement of pectoral nerves 1 and 2 regional anesthesia catheters under direct visualization. Intraoperative placement has the potential benefits of more accurate plane targeting, time saving, and widening the scope of use to practitioners are not trained in the ultrasound guided technique. We also present a review of the regional block techniques and present a preliminary algorithm for the selection of block method in breast surgery.

Original languageEnglish (US)
Pages (from-to)S189-S193
JournalAnnals of Plastic Surgery
Volume78
Issue number5
DOIs
StatePublished - 2017

Keywords

  • Anesthesia
  • Breast reconstruction
  • Nerve block
  • Pectoral nerves
  • Regional

ASJC Scopus subject areas

  • Surgery

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