Pectoralis Plane Block for

Subcutaneous

Implantable Cardioverter-

Defibrillator Placement

PRESENTER:

Samuel Crowley, MD

Sophia Jacob, MD

Wesam Andraous, MD

Department of Anesthesiology

Background

Pectoralis plane block (PEC) targets

nerves in the interfacial plane between

the pectoralis major and minor muscles1,2

Has utility in providing analgesia for

subcutaneous implantable cardioverter-

defibrillator (SICD) placement.

3

Patients often have significant comorbidities

and hemodynamic compromise, rendering

them greater risk under general anesthesia.

Allows for successful placement or

revision of SICD with intravenous

sedation while maintaining spontaneous

respiration and minimizing

hemodynamic extremes.