Bilateral PECS II Block is Associated with Decreased Opioid Consumption and Reduced Pain Scores for up to 24 hours After Minimally Invasive Repair of Pectus Excavatum (Nuss Procedure): A Retrospective Analysis

A Serratus Posterior Superior Intercostal Plane Block for Postoperative Analgesia in Minimally Invasive Pectus Excavatum Repair Surgery with a Video-Assisted Thoracic Surgery Technique: Case Report

“…As ultrasound-guided regional anesthesia practices have gained popularity, the use of many regional anesthesia methods such as ESPB, TPVB, SAPB, and Pecs I/II has become widespread in thoracic surgeries such as MIRPE. 6,7…”

“…As ultrasound-guided regional anesthesia practices have gained popularity, the use of many regional anesthesia methods such as ESPB, TPVB, SAPB, and Pecs I/II has become widespread in thoracic surgeries such as MIRPE. 6,7 ESPB can be performed from the cervical to the sacral regions due to the anatomy of the erector spinae muscles. 10 In reviewing bilateral ESPB applications in the literature, Tulgar et al 10 showed that, unlike other regional anesthesia techniques, cadaveric and imaging results did not correlate with clinical findings.…”

“…Various regional anesthesia techniques such as thoracic epidural blocks, erector spinae plane blocks (ESPB), thoracic paravertebral blocks, serratus anterior plane blocks (SAPB), thoracic intercostal nerve blocks, and pectoral I/II (PECS I/II) blocks can be used for pain management after MIRPE. 6,7…”

“…Various regional anesthesia techniques such as thoracic epidural blocks, erector spinae plane blocks (ESPB), thoracic paravertebral blocks, serratus anterior plane blocks (SAPB), thoracic intercostal nerve blocks, and pectoral I/II (PECS I/II) blocks can be used for pain management after MIRPE. 6,7 SPSIPB is a newly defined type of block that has been shown to provide analgesia in the anteroposterior hemithorax from C3 to T10 levels by administering local anesthetic in the fascial plane between the serratus posterior superior muscle and the intercostal muscles at the level of the second and third ribs under ultrasound guidance. 8,9 Written and verbal consent was obtained from the family for the publication of this case report.…”

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

“…The PECS II block is a double injection technique modifying the PECS I block, as it can also provide analgesia of the axilla region with the local anesthetic injected between the pectoralis minor and serratus anterior muscles, thereby blocking the long thoracic and thoracodorsal nerves in addition to the lateral branches of the intercostal nerves 11 . It has been reported that PECS blocks can be used as part of multimodal analgesia not only after breast surgery but also after cardiac 12 and thoracic surgery, 13–15 and venous catheter port implantation 16 . A limited number of case reports have shown that PECS blocks alone or in combination with other nerve blocks can provide intraoperative analgesia and anesthesia 17–21 .…”