- The modified PECS block (PECS I and II):
- Is a novel ultrasound-guided nerve block:
- To target the medial pectoral nerve, lateral pectoral nerve, and lateral cutaneous branches of the intercostal nerves
- Anatomic studies have shown significant variability in the location and branch distribution of the medial pectoral nerve:
- While the lateral pectoral nerve reliably runs just lateral to the pectoral branch of the thoracoacromial artery between the pectoral major and pectoral minor muscles:
- Offering a reliable target for ultrasound injection
- References
- Carstebsen LF, Jenstrup M, Lund J, Tranum-Jensen J. Pectoral block failure may be due to incomplete coverage of anatomical targets: a dissection Study. Reg Anesth Pain Med. 2018;43(8):844-848.
- Woodworth GE, Ivie RM, Nelson SM, Walker CM, Maniker RB. Perioperative breast analgesia. Reg Anesth Pain Med. 2017;42(5):609-631.
#Arrangoiz #BreastSurgeon #CancerSurgeon #SurgicalOncologist #Miami #MountSinaiMedicalCenter
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Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO
My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida.
I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016.
Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida.
Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.
View all posts by Rodrigo Arrangoiz MS, MD, FACS, FSSO
Rodrigo Arrangoiz MS, MD, FACS, FSSO 