دورية أكاديمية
Pectoral Nerve Block II for Cardiac Implantable Electronic Devices.
| العنوان: | Pectoral Nerve Block II for Cardiac Implantable Electronic Devices. |
|---|---|
| المؤلفون: | Zafar S; Department of Electrophysiology, Armed Forces Institute of Cardiology, Rawalpindi, Pakistan., Khan R; Department of Neurosurgery, Rural Health Center Sherwan, Abbottabad, Pakistan., Akbar MA; Department of Medicine, Sahiwal Teaching Hospital, Sahiwal, Pakistan., Zameer R; Department of Medicine, Fatima Jinnah Medical University, Lahore, Pakistan., Malik J; Department of Electrophysiology, Armed Forces Institute of Cardiology, Rawalpindi, Pakistan., Akhtar W; Department of Cardiology, Abbas Institute of Medical Sciences, Muzaffrabad, Pakistan., Mehmoodi A; Department of Medicine, Ibn e Seena Hospital, Kabul, Afghanistan., Awais M; Department of Electrophysiology, Armed Forces Institute of Cardiology, Rawalpindi, Pakistan. |
| المصدر: | Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc [Ann Noninvasive Electrocardiol] 2024 Sep; Vol. 29 (5), pp. e70005. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Periodicals, Inc Country of Publication: United States NLM ID: 9607443 Publication Model: Print Cited Medium: Internet ISSN: 1542-474X (Electronic) Linking ISSN: 1082720X NLM ISO Abbreviation: Ann Noninvasive Electrocardiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Malden, MA : Wiley Periodicals, Inc. Original Publication: Armonk, NY : Futura Pub. Co., |
| مواضيع طبية MeSH: | Thoracic Nerves* , Nerve Block*/methods , Defibrillators, Implantable*, Humans ; Male ; Female ; Aged ; Middle Aged ; Pain, Postoperative/drug therapy ; Pacemaker, Artificial ; Feasibility Studies ; Treatment Outcome ; Anesthetics, Local/administration & dosage ; Anesthetics, Local/therapeutic use ; Patient Satisfaction/statistics & numerical data ; Ultrasonography, Interventional/methods ; Aged, 80 and over |
| مستخلص: | Aim: This study aimed to assess the feasibility and effectiveness of the pectoral nerves (PECS) II block in facilitating cardiac implantable electronic device (CIED) insertion in a sample of 120 patients, with a focus on the percentage of cases completed without additional intraoperative local anesthesia. Methods: PECS II blocks were performed on the left side using ultrasound guidance in all 120 patients. Feasibility was assessed by the proportion of cases completed without the need for extra intraoperative local anesthetic. Secondary outcomes included the amount of additional local anesthetic used, intraoperative opioid requirements, postoperative pain scores, time to first postoperative analgesia, analgesic consumption, patient satisfaction, and block-related complications. Results: Of the 120 patients, 78 (65%) required additional intraoperative local anesthetic, with a median volume of 8.2 mL (range 3-13 mL). Fifteen patients (12.5%) needed intraoperative opioid supplementation. Nine patients (7.5%) required postoperative tramadol for pain relief. In total, 98 patients (81.7%) reported high satisfaction levels with the procedure. Conclusions: The PECS II block, when combined with supplementary local anesthetic, provided effective postoperative analgesia for at least 24 h in 120 patients undergoing CIED insertion. While it did not completely replace surgical anesthesia in most cases, the PECS II block significantly contributed to a smoother intraoperative experience for patients. (© 2024 The Author(s). Annals of Noninvasive Electrocardiology published by Wiley Periodicals LLC.) |
| References: | AACN Adv Crit Care. 2015 Oct-Dec;26(4):312-9. (PMID: 26484991) J Clin Anesth. 2016 Dec;35:365-368. (PMID: 27871558) Rev Esp Anestesiol Reanim. 2012 Nov;59(9):470-5. (PMID: 22939099) J Clin Anesth. 2019 Nov;57:110-111. (PMID: 30965271) Br J Cardiol. 2021 Oct 13;28(4):43. (PMID: 35747068) Trials. 2023 Sep 4;24(1):570. (PMID: 37667362) Med Glas (Zenica). 2020 Aug 1;17(2):352-355. (PMID: 32253905) Cardiovasc J Afr. 2022 May-Jun 23;33(3):153-156. (PMID: 35333279) Heart Rhythm. 2020 Aug;17(8):1346-1353. (PMID: 32201270) Curr Opin Anaesthesiol. 2009 Aug;22(4):519-23. (PMID: 19506472) Reg Anesth Pain Med. 2016 May-Jun;41(3):411-2. (PMID: 27093277) Ann Surg Treat Res. 2017 Sep;93(3):166-169. (PMID: 28932733) Int J Physiol Pathophysiol Pharmacol. 2020 Feb 25;12(1):40-50. (PMID: 32211121) Heart Rhythm. 2019 Dec;16(12):1841-1848. (PMID: 31648998) Front Surg. 2019 Nov 20;6:64. (PMID: 31824958) Pacing Clin Electrophysiol. 2023 Oct;46(10):1251-1257. (PMID: 37665000) Korean J Anesthesiol. 2023 Oct;76(5):424-432. (PMID: 36632640) Ann Surg Oncol. 2022 Aug;29(8):4777-4786. (PMID: 35428960) Reg Anesth Pain Med. 2017 Nov/Dec;42(6):764-766. (PMID: 29016551) Anatol J Cardiol. 2021 Oct;25(10):716-720. (PMID: 34622786) |
| فهرسة مساهمة: | Keywords: PECS II block; cardiac implantable electronic devices; intraoperative local anesthesia; postoperative analgesia; ultrasound‐guided block |
| المشرفين على المادة: | 0 (Anesthetics, Local) |
| تواريخ الأحداث: | Date Created: 20240816 Date Completed: 20240816 Latest Revision: 20240818 |
| رمز التحديث: | 20240818 |
| مُعرف محوري في PubMed: | PMC11327295 |
| DOI: | 10.1111/anec.70005 |
| PMID: | 39148302 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1542-474X |
|---|---|
| DOI: | 10.1111/anec.70005 |