Clinical usefulness of pectoral nerve block for the management of zoster-associated pain: case reports and technical description
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- 作者：Yeon-Dong Kim ; Seon-Jeong Park ; Junho Shim ; Hyungtae Kim
- 关键词：Herpes zoster ; Nerve block ; Pectoral nerve ; Thoracic nerve ; Ultrasound
- 刊名：Journal of Anesthesia
- 出版年：2016
- 出版时间：December 2016
- 年：2016
- 卷：30
- 期：6
- 页码：1074-1077
- 全文大小：669 KB
- 刊物类别：Medicine
- 刊物主题：Medicine & Public Health
Anesthesiology - 出版者：Springer Japan
- ISSN：1438-8359
- 卷排序：30
文摘
The recently introduced pectoral nerve (Pecs) block is a simple alterative to the conventional thoracic paravertebral block or epidural block for breast surgery. It produces excellent analgesia and can be used to provide balanced anesthesia and as a rescue block in cases where performing a neuraxial blockade is not possible. In the thoracic region, a neuraxial blockade is often used to manage zoster-associated pain. However, this can be challenging for physicians due to the increased risk of hemodynamic instability in the upper thoracic level, and comorbid and contraindicated medical conditions such as coagulopathy. Here, we introduce an ultrasound-guided Pecs block for the management of herpes zoster-associated pain, which could be an effective alternative to other interventional options in the thoracic region.