PECS II block for cardiac implantable electronic device insertion: A pilot study

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dc.authoridKavakli, Ali Sait/0000-0001-5263-7183
dc.authoridKILIN, MUSTAFA/0000-0003-4901-6516
dc.authoridsugur, tayfun/0000-0002-2965-4601
dc.authoridKaraveli, Arzu/0000-0002-7246-7182
dc.authorwosidKavakli, Ali Sait/L-5699-2016
dc.contributor.authorKilin, Mustafa
dc.contributor.authorKavakli, Ali Sait
dc.contributor.authorKaraveli, Arzu
dc.contributor.authorSugur, Tayfun
dc.contributor.authorKus, Gorkem
dc.contributor.authorCagirci, Goksel
dc.contributor.authorArslan, Sakir
dc.date.accessioned2024-05-19T14:38:59Z
dc.date.available2024-05-19T14:38:59Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractAimSome truncal blocks could provide adequate surgical anesthesia and postoperative analgesia in cardiac implantable electronic devices (CIED) insertion. The aim of this study was to evaluate the feasibility of the pectoral nerves (PECS) II block for CIED insertion.MethodsPECS II blocks were performed on the left side using the ultrasound-guided single injection technique in all patients. The primary outcome for feasibility was the percentage of the cases completed without intraoperative additional local anesthesia. Secondary outcomes were the amount of intraoperative additional local anesthetic, intraoperative opioid requirement, postoperative pain scores, first requirement for postoperative analgesia, postoperative analgesic consumption, patient satisfaction, and block-related complications.ResultsOf the total 30 patients, 19 (63.3%) required intraoperative additional local anesthetic. The median (IQR [range]) volume of the additional local anesthetic used was 7 (4-10 [2.5-12]) mL. Two patients needed additional IV analgesics in the first 24 h postoperatively. No statistically significant differences were determined between the patients requiring and not requiring intraoperative additional local anesthetic in respect of age, gender, duration of surgery, block performance time, and hospital stay. A total of 26 (86.6%) patients reported a high level of satisfaction with the procedure.ConclusionsPECS II block for cardiac electronic implantable device insertion provides effective postoperative analgesia for at least 24 h. Although PECS II block alone could not provide complete surgical anesthesia in the majority of the patients, when combined with supplementary local anesthetic, contributes to a smooth intraoperative course for patients.en_US
dc.description.sponsorshipDepartmental resources were used for the study.en_US
dc.description.sponsorshipDepartmental resources were used for the study.en_US
dc.identifier.doi10.1111/pace.14811
dc.identifier.endpage1257en_US
dc.identifier.issn0147-8389
dc.identifier.issn1540-8159
dc.identifier.issue10en_US
dc.identifier.pmid37665000en_US
dc.identifier.scopus2-s2.0-85169688550en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1251en_US
dc.identifier.urihttps://doi.org10.1111/pace.14811
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4667
dc.identifier.volume46en_US
dc.identifier.wosWOS:001057745100001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofPace-Pacing and Clinical Electrophysiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectAnalgesiaen_US
dc.subjectAnesthesiaen_US
dc.subjectCardiac Implantable Electronic Deviceen_US
dc.subjectIntraoperativeen_US
dc.subjectPectoral Nerves Blocken_US
dc.subjectPostoperativeen_US
dc.titlePECS II block for cardiac implantable electronic device insertion: A pilot studyen_US
dc.typeArticleen_US

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