Dear Editor,
The American Society of Regional Anesthesia and Pain Medicine (ASRA) and the European Society of Regional Anaesthesia and Pain Therapy (ESRA)-led Delphi consensus proposes a standardized nomenclature for the abdominal, chest wall, and paraspinal regional techniques.[1] Despite the worthy recommendations of the group on the use of consensus inferences for clinical–academic communication, recent studies continue to use the original connotations; for instance, the pectoral nerve II (PECS II) block.[1,2] As described by Blanco et al., the PECS II block involves PECS I block by default (i.e. an interpectoral plane [IPP] injection) in addition to a pectoserratus plane (PSP) injection.[3] Aiming for augmented clarity, it is now recommended to refer PECS II block as a combined IPP-PSP block with the PECS I being an isolated IPP block.[3] The former’s merit is highlighted in the fact that some researchers have erroneously described a combined IPP-PSP injection as PECS I + PECS II block, failing to acknowledge the dual injection in PECS II.[4] The need for a uniform vocabulary across the regional anesthetic literature is reemphasized for the sake of effective teaching–training in the discipline, hence the call for action.
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References
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