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Pectoralis blocks

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Oggg

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May 2, 2011
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http://www.csen.com/pecs.pdf

I think they didn't show pictures of positioning and needle entry so people won't start doing it willy nilly.

The paper claims that nerve fibers from the cervical roots / brachial plexus contribute sensory innervation (and motor) to the breast, for certain procedures such as submuscular implants and breast expanders. Seems like a somewhat limited use. The article also talks about pecs 2 being useful for axillary clearance, which is more interesting.
 

BLADEMDA

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Apr 22, 2007
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Blanco%20LO2908%20Fig.1%20pecs%20blk.jpg


Pec 1 Block. Limited Utility: Breast Implants and Breast Expanders
 

BLADEMDA

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Apr 22, 2007
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Thanks for posting about this as I heard it was being done in outpatient centers around where I'm at, but never done one myself. Any advantages over TPVB aside being farther away from the CNS/epidural space/interathecal space?

TPVB is a great nerve block but risks include pneomothorax, epidural, spinal,vertebral artery puncture and sympathectomy.

Pectoralis Nerve Blocks should be devoid of these complications while providing excellent pain relief.
 
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