Ultrasound-Guided INTRAPEC Injection for Breast Surgery: A Novel Solution for Surgical Field Improvement During Electrocautery and Implantation and for Postoperative Pain and Muscle Spasm Reduction for Breast Surgery

Authors

  • Jonathan P Kline, MSNA, CRNA Twin Oaks Anesthesia

DOI:

https://doi.org/10.18776/71gc7m56

Keywords:

INTRAPEC, Ultrasound, Spasm reduction, Electrocautery

Abstract

This article introduces a novel ultrasound-guided injection called the INTRAPEC technique as a solution to the specific problem of intraoperative pectoral major muscle spasm during electrocautery and manipulation. The technique is a cost-effective, nonparenteral method for improving the surgical field during pectoral major isolation and subsequent implant placement. The technique may have added benefits such as a significant reduction in surgical complexity causing trauma and bleeding and significant reductions in postoperative pain and muscle spasm.

Author Biography

  • Jonathan P Kline, MSNA, CRNA, Twin Oaks Anesthesia

    Degrees Held: B.S.N. from Southern Adventist University in 2000, M.S.N.A. from University of Alabama Birmingham in 2003 Current Position: Co- Founder and Director of Education of Twin Oaks Anesthesia Affiliations: Twin Oaks Anesthesia Interest: Administering and teaching peripheral nerve blocks and ultrasound guidance Mr. Kline obtained his B.S.N. from Southern Adventist University in 2000 and his M.S.N.A. from the University of Alabama Birmingham in 2003. His the Co-Founder and Director of Education of Twin Oaks Anesthesia. He is passionate about teaching others peripheral nerve blocks and ultrasound guidance. Mr. Kline has been an active lecturer regarding regional anesthesia and ultrasound techniques since 2006

References

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3. Shin HJ, Shin JC, Kim WS, Chang WH, Lee SC. Application of ultrasound-guided trigger point injection for myofascial trigger points in the subscapularis and pectoralis muscles to post-mastectomy patients: a pilot study. Yonsei Med J. 2014;55(3):792-799. https://doi.org/10.3349/ymj.2014.55.3.792
4. Leiman D, Barlow M, Carpin K, Piña EM, Casso D. Medial and lateral pectoral nerve block with liposomal bupivacaine for the management of postsurgical pain after submuscular breast augmentation. Plast Reconstr Surg Glob Open. 2014;2(12):e282. https://doi.org/10.1097/GOX.0000000000000253
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Published

2018-07-13

Issue

Vol. 6 (2018)

Section

Articles

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