Ultrasound-assisted approach to blocking the intercostal nerves in the mid-axillary line for non-reconstructive breast and axilla surgery

Revista Espanola de Anestesiologia y Reanimacion

Volumn 60, Issue 7, 2013, Pages 365-370

  Dieguez Garcia P ^a   Fajardo Perez M ^b   Lopez Alvarez S ^a   Alfaro de la Torre, P ^b   Pensado Castineiras A P ^a  

^a HOSPITAL JUAN CANALEJO   (Spain)

^b Aranjuez   (Spain)

Author keywords

Intercostal nerves; Nerve block; Regional anesthesia; Segmental mastectomy

Indexed keywords

COLORING AGENT; METHYLENE BLUE;

ADOLESCENT; ADULT; AGED; ANALGESIA; AXILLA; BREAST; BREAST NEOPLASMS; DIAGNOSTIC USE; DRUG EFFECTS; ECHOGRAPHY; ECHOMAMMOGRAPHY; ENDOSCOPIC ECHOGRAPHY; FEMALE; HUMAN; INTERCOSTAL NERVE; LYMPH NODE DISSECTION; LYMPH NODE METASTASIS; MASTECTOMY; MIDDLE AGED; NERVE BLOCK; PAIN, POSTOPERATIVE; PROCEDURES; PROSPECTIVE STUDY; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; ANALGESIA; AXILLA; BREAST; BREAST NEOPLASMS; COLORING AGENTS; FEMALE; HUMANS; INTERCOSTAL NERVES; LYMPH NODE EXCISION; LYMPHATIC METASTASIS; MASTECTOMY; METHYLENE BLUE; MIDDLE AGED; NERVE BLOCK; PAIN, POSTOPERATIVE; PROSPECTIVE STUDIES; ULTRASONOGRAPHY, INTERVENTIONAL; ULTRASONOGRAPHY, MAMMARY; YOUNG ADULT;

EID: 84883459008     PISSN: 00349356     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.redar.2013.04.002     Document Type: Article

References (24)

1. Blanco R. The pec's block: Novel technique for providing analgesia after breast surgery. Anaesthesia 2011, 66:847-848.
2. Blanco R., Garrido M., Diéguez P., Acea P.B., López S., Pensado A. Eficacia analgésica del bloqueo de los nervios pectorales en cirugía de mama. Cir May Amb 2011, 16:89-93.
3. Blanco R., Fajardo M., Parras T. Ultrasound description of the Pecs II (modified Pecs I): A novel approach into breast surgery. Rev Esp Anestesiol Reanim 2012, 59:470-475.
4. Fajardo M., Cucchi C., Paniagua M.A., García J. Bloqueo continuo de los nervios pectorales para cirugía de mama. Cir May Amb 2011, 16:191-192.
5. Desroches J., Grabs U., Grabs D. Selective ultrasound guided pectoral nerve targeting in breast augmentation: How to spare the brachial plexus cords?. Clin Anat 2012, 26:49-55.
6. Fajardo M., García F.J., López S., Diéguez P., Alfaro P. Bloqueo de las ramas cutáneas laterales y anteriores de los nervios intercostales para analgesia de mama. Cir May Amb 2012, 17:95-104.
7. Killinan H. Región toracoabdominal. Anestesia local: operatoria, diagnóstica y terapéutica 1979, 492-501. Salvat Editores, S.A., Barcelona. 2.aed. H. Killinan (Ed.).
8. Fajardo M., López S., Diéguez P., Alfaro P. Nuevo abordaje de las ramas de los nervios intercostales a nivel de la línea media axilar. Cir May Amb 2013, 18:4-7.
9. Jaspars J.J., Posma A.N., van Immerseel A.A., Gittenberger-de Groot A.C. The cutaneous innervation of the female breast and nipple-areola complex: Implications for surgery. Br J Plast Surg 1997, 50:249.
10. Farina M.A., Newby B.G., Alani H.M. Innervation of the nipple-areola complex. Plast Reconstr Surg 1980, 66:497.
11. Robbins T.H. Innervation of the nipple-areola complex. Plast Reconstr Surg 1981, 68:453.
12. Sarhadi N.S., Shaw Dunn J., Lee F.D., Soutar D.S. An anatomical study of the nerve supply of the breast, including the nipple and areola. Br J Plast Surg 1996, 49:15664.
13. Ducic I., Seiboth L.A., Lorio M.L. Chronic postoperative breast pain: Danger zones for nerve injuries. Plast Reconstr Surg 2011, 127:41-46.
14. Rendina E.A., Ciccone A.M. The intercostal space. Thorac Surg Clin 2007, 17:491-501.
15. Guay J., Grabs D. A cadaver study to determine the minimum volume of methylene blue or black naphthol required to completely color the nerves relevant for anesthesia during breast surgery. Clin Anat 2011, 24:202-208.
16. Neustein C.L., Turner A. Regional block anesthesia for mastectomy: A community hospital experience. Am Surg 2011, 77:1692-1694.
17. Colque A., Eisemann M.L. Breast augmentation and augmentation-mastopexy with local anesthesia and intravenous sedation. Anesth Surg J 2012, 32:303-307.
18. Bradley M., O'Donnell P. Chest. Atlas of musculoskeletal ultrasound anatomy 2002, 12-22. Greenwich Medical Media Limited, Cambridge, United States of America. 1st ed. M. Bradley, P. O'Donnell (Eds.).
19. Negrete Herrera J. Axila. Técnica de disecciones y atlas de anatomía humana 2008, 3-6. Méndez Editores, México. 14.a ed. J. Negrete Herrera (Ed.).
20. Atanassoff P.G., Alon E., Pasch T., Ziegler W.H., Gautschi K. Intercostal nerve block for minor breast surgery. Reg Anesth 1991, 16:23-27.
21. Wong L. Intercostal neuromas: A treatable cause of postoperative breast surgery pain. Ann Plast Surg 2001, 46:481-484.
22. Atanassoff P.G., Alon E., Weiss B.M. Intercostal nerve block for lumpectomy: Superior postoperative pain relief with bupivacaine. J Clin Anesth 1994, 6:47-51.
23. Kolawole I.K., Adesina M.D., Olaoye I.O. Intercostal nerves block for mastectomy in two patients with advanced breast malignancy. J Natl Med Assoc 2006, 98:450-453.
24. Würinger E., Mader N., Posch E., Holle J. Nerve and vessel supplying ligamentous suspension of the mammary gland. Plast Reconstr Surg 1998, 101:1486-1493.