AANA19 Shoulder Access Pass-Analgesic Benefit of PECS II Blockade for Open Subpectoral Biceps Tenodesis_ A Randomized, Prospective, Double-Blinded, Control Trial-Dr. Michael Thomas Freehill, M.D.

Analgesic Benefit of PECS II Blockade for Open Subpectoral Biceps Tenodesis_ A Randomized, Prospective, Double-Blinded, Control Trial-Dr. Michael Thomas Freehill, M.D.

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Video Summary

This study evaluated adding a PECS II block to the standard interscalene block for subpectoral biceps tenodesis to improve pain control, especially axillary pain. While the interscalene block effectively targets upper and middle plexus trunks, it often spares the axilla due to insufficiency in blocking intercostal and lower trunk nerves. The PECS block, involving injections between pectoral muscles and serratus, was hypothesized to cover these gaps. Results showed significantly lower resting and axillary pain up to six hours postoperatively and reduced opioid requirements with the PECS addition. Thus, combining these blocks enhances analgesia and may reduce postoperative complications related to pain.

Keywords

PECS II block

interscalene block

subpectoral biceps tenodesis

axillary pain control

postoperative analgesia