PDF(Pubmed)
Abstract：
OBJECTIVE: 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.
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.
摘要：
目的：本研究旨在评估胸神经（PECS）II阻滞在120例患者中促进心脏植入式电子设备（CIED）插入的可行性和有效性。重点是在没有额外术中局部麻醉的情况下完成的病例百分比。
方法：在所有120例患者中，使用超声引导在左侧进行PECSII阻滞。通过在不需要额外术中局部麻醉的情况下完成的病例比例来评估可行性。次要结果包括额外使用的局部麻醉剂的量，术中阿片类药物需求，术后疼痛评分,时间到第一次术后镇痛，镇痛消耗，患者满意度,和阻滞相关的并发症。
结果：在120名患者中，78（65%）需要额外的术中局部麻醉，中位体积为8.2mL（范围3-13mL）。15例患者（12.5％）需要术中补充阿片类药物。9例患者（7.5％）需要术后曲马多缓解疼痛。总的来说,98名患者(81.7%)报告对手术的满意度很高。
结论：PECSII块，当与补充局部麻醉药联合使用时，为120例接受CIED插入的患者提供至少24小时的有效术后镇痛。虽然它在大多数情况下并没有完全取代手术麻醉，PECSII阻滞显著有助于患者更顺利的术中体验.
方法：在所有120例患者中，使用超声引导在左侧进行PECSII阻滞。通过在不需要额外术中局部麻醉的情况下完成的病例比例来评估可行性。次要结果包括额外使用的局部麻醉剂的量，术中阿片类药物需求，术后疼痛评分,时间到第一次术后镇痛，镇痛消耗，患者满意度,和阻滞相关的并发症。
结果：在120名患者中，78（65%）需要额外的术中局部麻醉，中位体积为8.2mL（范围3-13mL）。15例患者（12.5％）需要术中补充阿片类药物。9例患者（7.5％）需要术后曲马多缓解疼痛。总的来说,98名患者(81.7%)报告对手术的满意度很高。
结论：PECSII块，当与补充局部麻醉药联合使用时，为120例接受CIED插入的患者提供至少24小时的有效术后镇痛。虽然它在大多数情况下并没有完全取代手术麻醉，PECSII阻滞显著有助于患者更顺利的术中体验.
