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{
    "pk": 1408,
    "title": "The Pectoralis Block: A Case Series of a Novel Modality for Acute Pain Control in the Emergency Department",
    "subtitle": null,
    "abstract": "<p><b>Introduction:</b> Regional anesthesia has long been used in a perioperative setting for the treatment of both pre- and postoperative pain. Recently, this skill has been brought into the emergency department (ED) as a modality for treating acute pain as the pendulum shifts away from an opiate-based armamentarium and toward a multimodal future. In this case series, we describe a way to use the pectoralis nerve block I and II in the treatment of pain with regard to breast abscesses and/or breast cellulitis managed in the ED.</p><p><b>Case Series:</b> This paper describes three cases, all of which consist of a painful complaint in the thoracic region. The first was a patient diagnosed with a breast abscess. The second patient was diagnosed with breast cellulitis. Finally, the third patient was diagnosed with a large breast abscess that extended into the axilla. All three sustained immense relief with the pectoralis block.</p><p><b>Conclusion:</b> While further research is needed on a larger scale, preliminary data suggests that the ultrasound-guided pectoralis nerve block is an effective and safe modality of acute pain control in regard to breast and axillary abscesses along with breast cellulitis.</p>",
    "language": null,
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "regional anesthesia; nerve block; pocus; procedural ultrasound; case series"
        }
    ],
    "section": "Case Series",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/70p0w3jv",
    "frozenauthors": [
        {
            "first_name": "Jonathan",
            "middle_name": "Henry",
            "last_name": "Brewer",
            "name_suffix": "",
            "institution": "Vanderbilt University Medical Center, Department of Emergency Medicine, Division of Emergency Ultrasound, Nashville, Tennessee",
            "department": ""
        },
        {
            "first_name": "Noah",
            "middle_name": "",
            "last_name": "Sanders",
            "name_suffix": "",
            "institution": "Highland Hospital, Department of Emergency Medicine, Oakland, California",
            "department": ""
        },
        {
            "first_name": "Alexander",
            "middle_name": "",
            "last_name": "Ayala",
            "name_suffix": "",
            "institution": "Highland Hospital, Department of Emergency Medicine, Oakland, California",
            "department": ""
        },
        {
            "first_name": "Arun",
            "middle_name": "",
            "last_name": "Nagdev",
            "name_suffix": "",
            "institution": "Highland Hospital, Department of Emergency Medicine, Oakland, California",
            "department": ""
        }
    ],
    "date_submitted": "2023-05-27T21:01:45.730000Z",
    "date_accepted": "2023-05-27T21:10:28.647000Z",
    "date_published": "2023-05-31T16:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1408/galley/1029/download/"
        }
    ]
}