In my review today I have filtered through videos on PECS block from YouTube, Vimeo, NYSORA, LSORA, and other websites. Some demonstrations are better than others, but after viewing these 10 videos you should have a pretty thorough understanding of the indications and methods for performing the PECS blocks.


If the videos were uploaded to public sites, then they have been embedded here.  If not, then I link to them on the publisher's website.  


I will create a playlist on JavMed including a test at the end, if you feel like testing your knowledge. Look for the update on this post later for a link to that playlist (we call them courses on


As always, we encourage you to complete your profile on so that you can participate in rating the videos here. This way we can all provide true "peer-review" to what's out there on the web.



#1 - LSORA: US guided PECS II (2) Block

Location: YouTube

Author: London Society of Regional Anesthesia - LSORA (Dr. Amit Pawa, Dr. PJ Bose, Dr. Mark Ibrahim)

Date: December 18, 2014

Duration: 5:20

My Rating: 4/5



--> The video is well organized and clearly narrated.

--> It starts with indications and typical medication doses.

--> The description of the anatomy is clear with nice models showing the nerves and muscles they innervate.

--> The position of the patient and practictioner performing the block are explained and shown.

--> Then the sonoanatomy is explained in relation to the ultrasound probe on the patient.

--> Finally the block is performed with beautiful images clearly showing the local anesthetic dividing the fascial planes. 




--> Not many minuses, that's why I ranked it 1st in this list.

--> There are some things that were not really dealt with in this short video, such as potential complications or strategies for difficult patients.  Sometimes in demonstrations all we see are the best images, but you know that it rarely looks that way when you actually go to do the block.  I always appreciate a demonstration that shows several examples in different patients with different body habitus.


 #2 -