title: COMBIPECS, the single-injection technique of pectoral nerve blocks 1 and 2: a case series.
abstract: Ultrasound-guided Pecs block can provide perioperative analgesia for breast surgery. A single-injection technique (COMBIPECS) combines both Pecs 1 and Pecs 2 blocks in a single needle pass. This technique saves time and is equally effective as the modified Pecs block which uses 2 needle passes. We present a case series of 21 patients who received the COMBIPECS block as a part of multimodal analgesia for breast cancer surgery. The block was administered before the surgery after induction of general anesthesia. The patients needed minimal intraoperative analgesics and remained pain free in the postoperative period up to 24 hours after surgery.
authors.affiliation: Anaesthesia, Critical Care and Pain, Tata Medical Center, Kolkata, WB, India. Electronic address: dr.arunangshu@gmail.com.
authors.forename: Arunangshu
authors.initials: A
authors.lastname: Chakraborty
authors.affiliation: Anaesthesia, Critical Care and Pain, Tata Medical Center, Kolkata, WB, India. Electronic address: rakhikhemka@yahoo.co.in.
authors.forename: Rakhi
authors.initials: R
authors.lastname: Khemka
authors.affiliation: Anaesthesia, Critical Care and Pain, Tata Medical Center, Kolkata, WB, India. Electronic address: dr.tdatta@gmail.com.
authors.forename: Taniya
authors.initials: T
authors.lastname: Datta
authors.affiliation: Anaesthesia, Critical Care and Pain, Tata Medical Center, Kolkata, WB, India. Electronic address: suparna.mitrabarman@gmail.com.
authors.forename: Suparna
authors.initials: S
authors.lastname: Mitra
mesh_terms: D000328:Adult; D000779:Anesthetics, Local / Q000008:administration & dosage*; D001940:Breast / Q000601:surgery; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008408:Mastectomy; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*; D010149:Postoperative Pain / Q000188:drug therapy*; D011446:Prospective Studies; D013900:Thoracic Nerves / Q000187:drug effects*; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional
chemical_list: D000779:Anesthetics, Local
keywords: COMBIPECS; Pecs 1; Pecs 2; Regional anesthesia for breast surgery; Single injection technique