Aim 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.
Kulhari S, Bharti N, Bala I, Arora S, Singh G. Efficacy of pectoral nerve block versus thoracic paravertebral block for postoperative analgesia after radical mastectomy: a randomized controlled trial. Br J Anaesth. 2016;382–6.
2.
Munshey F, Ramamurthi F, Tsui R, B. Early experience with PECS 1 block for Port-a-Cath insertion or removal in children at a single institution. J Clin Aesth. 2018;63–4.
3.
Falzarano G, Piscopo A, Grubor P, Rollo G, Medici A, Pipola V, et al. Use of common inflammatory markers in the long-term screening of total hip arthroprosthesis infections: our experience. Adv Orthop. 2017;9679470.
4.
Franzese R, Conte M, Gagliardo N, Pieretti G. Children vs elderly in orthopedic surgery site of infection. Are there difference? Experience of a high volume plastic surgeon consultant. Acta Med Sal. 2109;24–9.
5.
Spencer T, Pittiruti M. Rapid Central Vein Assessment (RaCeVA): a systematic, standardized approach for ultrasound assessment before central venous catheterization. J Vasc Access. 2019;239–49.
6.
Hawker G, Mian S, Kendzerska T, French M. Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 2011;
7.
Rollo G, Prkic A, Bisaccia M, Eygendaal D, Pichierri P, Marsilio A, et al. Grafting and fixation after aseptic non-union of the humeral shaft: a case series. J Clin Orthop Trauma. 2020;(Suppl 1):51–5.
8.
Gómez-Garrido D, Triviño-Mayoral V, Delgado-Alcala V, Cervera-Irimia J, Medina-Lorca M, Sánchez-Sánchez F, et al. Five year long term results of total joint arthroplasties in the treatment of trapeziometacarpal osteoarthritis. Acta Biomed. 2019;451–6.
9.
Rollo G, Prkić A, Pichierri P, Eygendaal D, Bisaccia M, Filipponi M, et al. Plate-and-bone-strut fixation of distal third humeral shaft aseptic non-unions: a consecutive case series. J Clin Orthop Trauma. 2019;(Suppl 1):127–32.
10.
Rinonapoli G, Bisaccia M, Meccariello L, Mancini G, Marrani F, Grubor P, et al. Transient osteomyelitis of the distal radius in a three-year-old patient. Med Glas (Zenica). 2020;178–82.
11.
Rollo G, Meccariello L, Rotini R, Pichierri P, Bisaccia M, Fortina M. Efficacy of the “Salento technique”, a modified two-incision approach in distal biceps brachii tendon repair. Surgical description and outcomes analysis. J Clin Orthop Trauma. 2019;959–64.
12.
Rollo G, Porcellini G, Rotini R, Bisaccia M, Pichierri P, Paladini P, et al. A new plate design to treat displaced 3-4 parts proximal humeral fractures in comparison to the most tested and used plate: clinical and radiographic study. Med Glas (Zenica). 2019;284–92.
13.
Rollo G, Bisaccia M, Irimia J, Rinonapoli G, Pasquino A, Tomarchio A, et al. The advantages of type III Scaphoid Nonunion Advanced Collapse (SNAC) treatment with partial carpal arthrodesis in the dominant hand: results of 5-year follow-up. Med Arch. 2018;253–6.
14.
Rollo G, Rotini R, Eygendaal D, Pichierri P, Bisaccia M, Prkic A, et al. Effect of trochleocapitellar index on adult patient-reported outcomes after noncomminuted intra-articular distal humeral fractures. J Shoulder Elbow Surg. 2018;1326–32.
15.
Rollo G, Pichierri P, Marsilio A, Filipponi M, Bisaccia M, Meccariello L. The challenge of nonunion after osteosynthesis of the clavicle: is it a biomechanical or infection problem? Clin Cases Miner Bone Metab. 2017;372–8.
16.
Rollo G, Rotini R, Pichierri P, Giaracuni M, Stasi A, Macchiarola L, et al. Grafting and fixation of proximal humeral aseptic nonunion: a prospective case series. Clin Cases Miner Bone Metab. 2017;298–304.
17.
Medici A, Meccariello L, Rollo G, Nigris D, Mccabe G, Grubor S, et al. Does routine carpal tunnel release during fixation of distal radius fractures improve outcomes? Injury. 2017;(Suppl 3):30–3.
18.
Bisaccia M, Meccariello L, Rinonapoli G, Rollo G, Pellegrino M, Schiavone A, et al. Comparison of plate, nail and external fixation in the management of diaphyseal fractures of the humerus. Med Arch. 2017;97–102.
19.
Manni M, Bisaccia M, Rinonapoli G, Schiavone A, Meccariello L, Mccabe S, et al. Reliability, feasibility and value of ecography in clinical-functional results in patients affected by carpal tunnel syndrome: is there a correlation? Acta Inform Med. 2017;44–8.
20.
Bisaccia M, Rinonapoli G, Falzarano G, Medici A, Meccariello L, Rosati R, et al. Clinical and radiological outcomes of distal radius fractures treated with orif with volar plates. EMBJ. 2016;9–14.
21.
Bisaccia M, Rinonapoli G, Bisaccia O, Meccariello L, Vicente I, Ceccarini C, et al. Articular fractures of distal radius: comparison of treatment and clinical and radiological outcomes with volar plate versus hoffmann bridging external fixator. EMBJ. 2017;18–23.
22.
Rollo G, Bisaccia M, Franzese R, Pichierri P, Filipponi M, Giaracuni M, et al. The biomechanical potential of the bone graft in the proximal ulna non-union surgery. Clin Cases Miner Bone Metab. 2019;53–61.
23.
Giacinto D, Meccariello S, L. Supracondylar fractures of the humerus, gartland 3: pediatric urgency. Case report and literature review. EMBJ. 2016;(1):6.
24.
Falzarano G, Medici A, Meccariello L. Challenges of the sub-amputated humerus: to amputate or not? A case study. EMBJ. 2016;(S1):4–5.
The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.
,
