Schuitemaker R JB, Sala-Blanch X, Rodriguez-Pérez CL, Mayoral R JT, López-Pantaleon LA, Sánchez-Cohen AP. The PECS II block as a major analgesic component for clavicle operations: A description of 7 case reports.
ACTA ACUST UNITED AC 2018;
65:53-8. [PMID:
28554710 DOI:
10.1016/j.redar.2017.04.005]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2017] [Revised: 04/12/2017] [Accepted: 04/14/2017] [Indexed: 11/21/2022]
Abstract
Clavicle fractures correspond to 35% of traumatic fractures of the shoulder girdle. Regional anaesthesia has shown better analgesic results than systemic treatment for perioperative management. Innervation of the clavicle is complex, at present its knowledge raises controversy. The lateral pectoral nerve through the innervating musculature predominantly participates in the lateral and anterior part of the clavicle. The following report of 7 cases describes the effective postoperative analgesia of modified PEC II block in patients with middle third clavicle fracture or acromioclavicular dislocation who underwent a modified PEC II block for postoperative pain management, in the context of a multimodal analgesia. The potential advantage of this management over other analgesic procedures should be evaluated in specific clinical trials.
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