AANA19 Shoulder Access Pass-Analgesic Benefit of PECS II Blockade for Open Subpectoral Biceps Tenodesis: A Randomized, Prospective, Double-Blinded, Control Trial-Dr. Michael Thomas Freehill, M.D.

Analgesic Benefit of PECS II Blockade for Open Subpectoral Biceps Tenodesis: A Randomized, Prospective, Double-Blinded, Control Trial-Dr. Michael Thomas Freehill, M.D.

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Video Transcription

Video Summary

In this video, the speaker discusses a study they conducted on the use of a PECS (pectoral) block for subpectoral biceps tenodesis. The goal of the study was to address patient discomfort in the axillary region following the procedure. The current method of using an interscaling block was found to be successful in providing analgesia for the upper and middle trunks of the plexus but did not effectively block the axilla and medial proximal arm, resulting in continued pain. The PECS block, which involves blocking the intercostal and pectoral nerves, was added to the interscaling block and found to significantly improve pain scores at rest, axillary pain up to six hours, and reduce the need for opioids. The conclusion suggests that incorporating the PECS block into the procedure can result in improved pain management and reduced patient complaints.

Asset Caption

Concurrent Scientific Session II: Shoulder Paper Presentations 5.4.2019

Meta Tag

Concept PECS II block

Concept Interscalene Regional Anesthesia

Concept Axillary pain

Concept Subpectoral Biceps Tenodesis

Concept Medial proximal arm pain

Keywords

PECS block

pectoral nerves

subpectoral biceps tenodesis

axillary pain

pain management

PECS II block

Interscalene Regional Anesthesia

Axillary pain

Subpectoral Biceps Tenodesis

Medial proximal arm pain