Evidence map›Paper›PMID 39148302›Full record

ArticleAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2024

Pectoral Nerve Block II for Cardiac Implantable Electronic Devices.

Shehzad Zafar, Rubaiqa Khan, Muhammad Ali Akbar, Rabia Zameer, Jahanzeb Malik, Waheed Akhtar, Amin Mehmoodi, Muhammad Awais

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Article in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Shehzad ZafarDepartment of Electrophysiology, Armed Forces Institute of Cardiology, Rawalpindi, Pakistan.
Rubaiqa KhanDepartment of Neurosurgery, Rural Health Center Sherwan, Abbottabad, Pakistan.
Muhammad Ali AkbarDepartment of Medicine, Sahiwal Teaching Hospital, Sahiwal, Pakistan.
Rabia ZameerDepartment of Medicine, Fatima Jinnah Medical University, Lahore, Pakistan.
Jahanzeb MalikDepartment of Electrophysiology, Armed Forces Institute of Cardiology, Rawalpindi, Pakistan.
Waheed AkhtarDepartment of Cardiology, Abbas Institute of Medical Sciences, Muzaffrabad, Pakistan.
Amin MehmoodiDepartment of Medicine, Ibn e Seena Hospital, Kabul, Afghanistan.ORCID 0000-0002-9343-4187
Muhammad AwaisDepartment of Electrophysiology, Armed Forces Institute of Cardiology, Rawalpindi, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study aimed to assess the feasibility and effectiveness of the pectoral nerves (PECS) II block in facilitating cardiac implantable electronic device (CIED) insertion in a sample of 120 patients, with a focus on the percentage of cases completed without additional intraoperative local anesthesia.

methodsPECS II blocks were performed on the left side using ultrasound guidance in all 120 patients. Feasibility was assessed by the proportion of cases completed without the need for extra intraoperative local anesthetic. Secondary outcomes included the amount of additional local anesthetic used, intraoperative opioid requirements, postoperative pain scores, time to first postoperative analgesia, analgesic consumption, patient satisfaction, and block-related complications.

resultsOf the 120 patients, 78 (65%) required additional intraoperative local anesthetic, with a median volume of 8.2 mL (range 3-13 mL). Fifteen patients (12.5%) needed intraoperative opioid supplementation. Nine patients (7.5%) required postoperative tramadol for pain relief. In total, 98 patients (81.7%) reported high satisfaction levels with the procedure.

conclusionsThe PECS II block, when combined with supplementary local anesthetic, provided effective postoperative analgesia for at least 24 h in 120 patients undergoing CIED insertion. While it did not completely replace surgical anesthesia in most cases, the PECS II block significantly contributed to a smoother intraoperative experience for patients.

Indexed as

Defibrillators, ImplantableNerve BlockThoracic NervesAgedAged, 80 and overAnesthetics, LocalFeasibility StudiesFemaleHumansMaleMiddle AgedPacemaker, ArtificialPatient SatisfactionPostoperative PainTreatment OutcomeUltrasonography, InterventionalAnesthetics, Localcardiac implantable electronic devicesintraoperative local anesthesiaPECS II blockpostoperative analgesiaultrasound‐guided block

Identifiers

PMID39148302
PMCPMC11327295

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.