MUSCULOCUTANEOUS NERVE BLOCK AFTER PECTORAL BLOCK – A RARE SIDE EFFECT
DOI:
https://doi.org/10.31379/2411.2616.15.1.11Keywords:
musculocutaneous nerve block, pectoral block, intensive care, postoperative analgesiaAbstract
Pectoral nerve blocks have become a common component of anesthesia for cosmetic and reconstructive breast procedures. Blockade of the lateral pectoral nerve improves postoperative analgesia in operations requiring implant insertion in the submuscular plane. Though this regional anesthesia provides reliable analgesia, without the potential risk of a neuraxial block, it is not complicationfree. We present two patients who experienced a blocked musculocutaneous nerve after pectoral nerve block. According to our knowledge, this rare side effect was not previously described in the literature.
References
“The Efficacy of Different Volumes on Ultrasound-Guided Type-I Pectoral Nerve Block for Postoperative Analgesia After Subpectoral Breast Augmentation: A Prospective, Randomized, Controlled Study.” / M. Ekinci [et al.] // Aesthetic plastic surgery. – 2019. – Vol. 43(2). – P. 297-304.
Prevalence of and factors associated with persistent pain following breast cancer surgery. / R. Gartner [et al.] // JAMA. – 2009. – Vol. 302. – P. 1985–1992.
Prakash, K. G., Saniya, K. “Anatomical study of pectoral nerves and its implications in surgery.” / K. G. Prakash, K. Saniya // JCDR. – 2014. – Vol. 8(7). – AC01.
Rare anatomical variation of the musculocutaneous nerve-Case report. / S. R. R. Nascimento [et al.] // Revista Brasileira de Ortopedia. – Vol. 51(3). – P. 366-369.
Blanco, R. The ‘pecs block’: a novel technique for providing analgesia after breast surgery. / R. Blanco // Anaesthesia. – 2011. – Vol. 66. – P. 847-8.
Blanco, R., Fajardo, M., Parras Maldonado, T. Ultrasound description of Pecs II (modified Pecs I): a novel approach to breast surgery. / R. Blanco, M. Fajardo, T. Parras Maldonado // Rev Esp Anestesiol Reanim. – 2012. – Vol. 59. – P. 470–475.
Semenza, M. Lateral pectoral nerve blocks after breast augmentation. / M. Semenza // In: ASRA 38th Annual Regional Anesthesia and Acute Pain Medicine Meeting, Boston, Massachusetts. 2013 May; Spring 2013