INTRAPEC Technique Controls Pectoralis Spasm and Pain for Subpectoral Breast Implantation
A Retrospective Study

Jonathan P. Kline, CRNA, M.S.N.A.
Wayne Lee, MD
Ken Wofford, PhD, CRNA

Published by Plastic and Reconstructive Surgery Global Open
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ABSTRACT
Background:

In 2018, a novel approach to reduce pectoralis spasm from sub- pectoral breast implant surgery was published called the INTRAPEC.1 In this study, we more formally examine the effectiveness of the ultrasound-guided INTRAPEC injection to control postoperative pectoralis major spasm and pain following breast surgery with sub-pectoral implantation.

METHODS

We employed a simple postoperative spasm and pain record to collect data on 17 patients, all of whom received INTRAPEC and erector spinae plane blocks as a part of an opioid- free anesthetic. All breast surgeries were completed with LMA general anesthesia, preserving spontaneous ventilation.