title: Medial and lateral pectoral nerve block with liposomal bupivacaine for the management of postsurgical pain after submuscular breast augmentation.
abstract: This report describes an ultrasound-guided medial and lateral pectoralis nerve block using liposome bupivacaine, performed before the surgical incision, in a patient undergoing submuscular breast augmentation. The anatomic basis and technique are described. This procedure may be offered to patients undergoing submuscular insertion of a breast implant or tissue expander. Advancements in ultrasound guidance allow for more precise anatomic placement of local anesthetic agents. The injection technique used for this procedure resulted in complete relaxation of the pectoralis major, facilitating the surgical dissection and markedly diminishing postsurgical pain and muscle spasms.
authors.affiliation: Houston Methodist St. John Hospital, Nassau Bay, Tex.
authors.forename: David
authors.initials: D
authors.lastname: Leiman
authors.affiliation: Houston Methodist St. John Hospital, Nassau Bay, Tex.
authors.forename: Mark
authors.initials: M
authors.lastname: Barlow
authors.affiliation: Houston Methodist St. John Hospital, Nassau Bay, Tex.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Carpin
authors.affiliation: Houston Methodist St. John Hospital, Nassau Bay, Tex.
authors.forename: Edward M
authors.initials: EM
authors.lastname: Piña
authors.affiliation: Houston Methodist St. John Hospital, Nassau Bay, Tex.
authors.forename: Daniel
authors.initials: D
authors.lastname: Casso