Thoracic interfascial nerve block for breast surgery in a pregnant woman: a case report
- PMID: 28367293
- PMCID: PMC5370295
- DOI: 10.4097/kjae.2017.70.2.209
Thoracic interfascial nerve block for breast surgery in a pregnant woman: a case report
Abstract
Regional anesthesia for non-obstetric surgery in parturients is a method to decrease patient and fetal risk during general anesthesia. Thoracic interfascial nerve block can be used as an analgesic technique for surgical procedures of the thorax. The Pecs II block is an interfascial block that targets not only the medial and lateral pectoral nerves, but also the lateral cutaneous branch of the intercostal nerve. Pecto-intercostal fascial block (PIFB) targets the anterior cutaneous branch of the intercostal nerve. The authors successfully performed a modified Pecs II block and PIFB without complications in a parturient who refused general anesthesia for breast surgery.
Keywords: Breast surgery; Parturient; Regional anesthesia.
Figures



Similar articles
-
[Ultrasound-guided fascial plane blocks as unique anesthetic technique for total mastectomy in a covid-19 era: a case report].Rev Esp Anestesiol Reanim. 2021 Aug-Sep;68(7):408-413. doi: 10.1016/j.redar.2020.09.010. Epub 2021 Jan 22. Rev Esp Anestesiol Reanim. 2021. PMID: 34629562 Free PMC article. Spanish.
-
The Analgesic Efficacy of Pecto-Intercostal Fascial Block Combined with Pectoral Nerve Block in Modified Radical Mastectomy: A Prospective Randomized Trial.Pain Physician. 2020 Sep;23(5):485-493. Pain Physician. 2020. PMID: 32967391 Clinical Trial.
-
Use of Ultrasound-Guided Interfascial Plane Blocks in Anterior and Lateral Thoracic Wall Region as Safe Method for Patient Anesthesia and Analgesia: Review of Techniques and Approaches during COVID-19 Pandemic.Int J Environ Res Public Health. 2022 Jul 17;19(14):8696. doi: 10.3390/ijerph19148696. Int J Environ Res Public Health. 2022. PMID: 35886547 Free PMC article. Review.
-
Pectoral nerve block and pecto-intercostal fascial block versus thoracic paravertebral block for postoperative analgesia in modified radical mastectomy: A randomised controlled trial.Indian J Anaesth. 2025 Mar;69(3):302-307. doi: 10.4103/ija.ija_734_24. Epub 2025 Feb 17. Indian J Anaesth. 2025. PMID: 40161909 Free PMC article.
-
How to Use Pectoral Nerve Blocks Effectively—An Evidence-Based Update.Asian J Anesthesiol. 2019 Jun 1;57(2):28-36. doi: 10.6859/aja.201906_57(2).0002. Asian J Anesthesiol. 2019. PMID: 31382323 Review.
Cited by
-
Pectoral nerve II block, transversus thoracic muscle plane block, and dexmedetomidine for breast surgery in a patient with achondroplasia: a case report.JA Clin Rep. 2019 Jul 19;5(1):47. doi: 10.1186/s40981-019-0267-5. JA Clin Rep. 2019. PMID: 32026032 Free PMC article.
-
Practical Review of Abdominal and Breast Regional Analgesia for Plastic Surgeons: Evidence and Techniques.Plast Reconstr Surg Glob Open. 2020 Dec 17;8(12):e3224. doi: 10.1097/GOX.0000000000003224. eCollection 2020 Dec. Plast Reconstr Surg Glob Open. 2020. PMID: 33425573 Free PMC article. Review.
-
[Ultrasound-guided fascial plane blocks as unique anesthetic technique for total mastectomy in a covid-19 era: a case report].Rev Esp Anestesiol Reanim. 2021 Aug-Sep;68(7):408-413. doi: 10.1016/j.redar.2020.09.010. Epub 2021 Jan 22. Rev Esp Anestesiol Reanim. 2021. PMID: 34629562 Free PMC article. Spanish.
-
Newer regional analgesia interventions (fascial plane blocks) for breast surgeries: Review of literature.Indian J Anaesth. 2018 Apr;62(4):254-262. doi: 10.4103/ija.IJA_46_18. Indian J Anaesth. 2018. PMID: 29720750 Free PMC article. Review.
-
Regional anesthesia for thoracic surgery: a narrative review of indications and clinical considerations.J Thorac Dis. 2022 Dec;14(12):5012-5028. doi: 10.21037/jtd-22-599. J Thorac Dis. 2022. PMID: 36647492 Free PMC article. Review.
References
-
- Melnick DM, Wahl WL, Dalton VK. Management of general surgical problems in the pregnant patient. Am J Surg. 2004;187:170–180. - PubMed
-
- Heesen M, Klimek M. Nonobstetric anesthesia during pregnancy. Curr Opin Anaesthesiol. 2016;29:297–303. - PubMed
-
- Flood P. Fetal anesthesia and brain development. Anesthesiology. 2011;114:479–480. - PubMed
-
- Van De Velde M, De Buck F. Anesthesia for non-obstetric surgery in the pregnant patient. Minerva Anestesiol. 2007;73:235–240. - PubMed
-
- Blanco R. The ‘pecs block’: a novel technique for providing analgesia after breast surgery. Anaesthesia. 2011;66:847–848. - PubMed
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical