Yang JK, Char DS, Motonaga KS, et al. - Researchers undertook this single-center retrospective review to investigate if pectoral nerve blocks (PECs) can reduce postoperative pain as well as opioid use following pacemaker (PM) or implantable cardioverter–defibrillator (ICD) placement in children. This analysis involved 74 patients who underwent PM or ICD placement; 20 patients (27%) received PECs. Cases with recent cardiothoracic surgery or neurologic/developmental deficits were not included. Experts compared patients who had received PECs vs those who had received conventional local anesthetic (Control), in terms of demographics, procedural variables, postoperative pain, and postoperative opioid usage. Findings revealed decrease in postoperative pain scores as well as lowering of total opioid usage following ICD or PM placement in the group treated with PECs. Considering PECs at the time of transvenous device placement in children was recommended by the experts.