Skip to main content

Peripheral Nerve Blocks of the Thoracic Ventrolateral Wall: Type I PECS Block, Type II PECS Block, and Serratus Plane Block

  • Chapter
  • First Online:
Ultrasound in Peripheral, Neuraxial and Perineuraxial Regional Anaesthesia

Abstract

Innervation of the ventrolateral thoracic wall is provided primarily by the intercostal nerves (ribs, intercostal muscles, skin), the lateral and medial pectoral nerves (pectoralis major and minor muscles), the long thoracic nerve (serratus anterior muscle) and by the supraclavicular nerves (skin of the neck area, supra- and infraclavicular areas) (Figs. 4.1, 9.1, 11.1 and 11.2). Innervation of the breast and of the overlying skin is derived from the lateral and ventral cutaneous branches of the intercostal nerves.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Blanco R. The “pecs block”: a novel technique for providing analgesia after breast surgery. Anesthesia. 2011;66:847–8.

    Article  CAS  Google Scholar 

  2. Blanco R, Fajardo M, Parras MT. Ultrasound description of PECS II (modified PECS I): a novel approach to breast surgery. Rev Esp Anestesiol Reanim. 2012;59:470–5.

    Article  CAS  PubMed  Google Scholar 

  3. Blanco R, Parras T, McDonnell JG, Prats-Galino A. Serratus plane block: a novel ultrasound-guided thoracic wall nerve block. Anesthesia. 2013;68:1107–13.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Eisenberg, E., Gaertner, E., Clavert, P., Blanco, R. (2023). Peripheral Nerve Blocks of the Thoracic Ventrolateral Wall: Type I PECS Block, Type II PECS Block, and Serratus Plane Block. In: Eisenberg, E., Gaertner, E. (eds) Ultrasound in Peripheral, Neuraxial and Perineuraxial Regional Anaesthesia. Springer, Cham. https://doi.org/10.1007/978-3-031-08804-9_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-08804-9_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-08803-2

  • Online ISBN: 978-3-031-08804-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics