Ultrasound-guided multiple nerve block with a small volume local anesthetic at each site for radical mastectomy in day surgery

Ultrasound-guided PEC I, PEC II and serratus anterior blocks are recently used for anesthesia and analgesia for radical mastectomy [1 –3]. We find that the method has two shortcomings. Firstly, surgeons complain the operating field is too watery; secondly, it may not provide complete analgesia because of multiple nerve distribution in the areas of surgery. The involved nerves come from the brachial plexus (the medial pectoral ne rve, the lateral pectoral nerve, the long thoracic nerve, the thoracodorsal nerve, the medial brachial cutaneous nerve), the superficial cervical plexus (the supraclavicular nerve) and the intercostals nerve (the lateral cutaneous branches of T2–T6 and the anterior cutaneous branches of T2–T4).
Source: Journal of Clinical Anesthesia - Category: Anesthesiology Authors: Tags: Correspondence Source Type: research