Journal Article Experience managing pain associated with supraclavicular nerves compressed by a cardiac implantable electrical device, diagnosed by the local nerve block

Imada, Hiroshi  ,  Fukuzawa, Koji  ,  Kiuchi, Kunihiko  ,  Hirata, Ken-ichi  ,  Sato, Hitoaki

34 ( 1 )  , pp.84 - 86 , 2018-02 , Wiley
A 72-year-old man with ischemic cardiomyopathy was referred to undergo an implantation of a cardiac implantable electrical device (CIED). A pocket was created subcutaneously on the left anterior chest. After the operation, he complained of severe pain irradiating to his left posterior shoulder. The local anesthetic nerve block by a local infusion of mepivacaine revealed the pain was associated with the supraclavicular nerve. We re-created the pocket and shifted the generator toward the inner side, and the irradiating pain vanished. A local anesthetic supraclavicular nerve block is an important option for the diagnosis of pain after a CIED implantation.

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