• Massimo Renzini, Umberto Ripani, Luisa Golia, Fulvio Nisi, and Fabio Gori.
• Department of Pain Medicine Hospital S.M.M, Perugia, Italy.
• Med Glas (Zenica). 2020 Aug 1; 17 (2): 352-355.

AbstractAim The use of PecS block 1 as perioperative analgesia for a central catheter removal -reimplantation combined procedure. Methods A 55-year-old woman suffering from peritoneal metastases from gastric cancer needed to have a port-a-cath implanted for infection removed and to have a central venous catheter (CVC) implanted in the homolateral axillary vein due to patient's history of deep vein thrombosis of the right upper limb. We used PECS 1 block for perioperative analgesia. Results Compared to the traditional catheter implantation technique, reduction in the doses of local anaesthetics, shortening in the execution time, less intra-procedural bleeding, better patient's compliance, and no need for a rescue dose of local anaesthetic were observed. Conclusion The PEC1 block was effectively and safely used to remove an infected port-a-cath and to place a CVC on the same side. We hypothesize that it may be useful also for simple port-acath positioning.Copyright© by the Medical Assotiation of Zenica-Doboj Canton.

15 keywords...

hide…