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Anterior cutaneous nerve block for analgesia in anterior chest trauma: is the parasternal approach necessary?

In recent years, several techniques of regional anesthesia have been proposed to provide analgesia to the anterior thoracic cage; notably, most of these techniques require a parasternal approach. However, in this context, the potential role of a more common and well-established technique, namely the...

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Autores principales: Pietro, Santi Di, Mascia, Benedetta, Bianco, Giuliano Lo, Perlini, Stefano, Iotti, Giorgio Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Emergency Medicine 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141978/
https://www.ncbi.nlm.nih.gov/pubmed/32252136
http://dx.doi.org/10.15441/ceem.18.089
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author Pietro, Santi Di
Mascia, Benedetta
Bianco, Giuliano Lo
Perlini, Stefano
Iotti, Giorgio Antonio
author_facet Pietro, Santi Di
Mascia, Benedetta
Bianco, Giuliano Lo
Perlini, Stefano
Iotti, Giorgio Antonio
author_sort Pietro, Santi Di
collection PubMed
description In recent years, several techniques of regional anesthesia have been proposed to provide analgesia to the anterior thoracic cage; notably, most of these techniques require a parasternal approach. However, in this context, the potential role of a more common and well-established technique, namely the modified pectoral nerve block (known as PECS II block), has been poorly investigated. Here, we describe a case involving a patient with bilateral anterolateral multiple rib fractures associated with sternum fracture, who was successfully treated using bilateral PECS II blocks. Our experience indicates that the PECS II block can provide excellent analgesia in cases involving anterior rib and sternum fractures. Because it is easier to perform and may be safer than other parasternal techniques, the PECS II block should be considered when providing analgesia for traumatic injuries of the anterior thorax.
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spelling pubmed-71419782020-04-13 Anterior cutaneous nerve block for analgesia in anterior chest trauma: is the parasternal approach necessary? Pietro, Santi Di Mascia, Benedetta Bianco, Giuliano Lo Perlini, Stefano Iotti, Giorgio Antonio Clin Exp Emerg Med Case Report In recent years, several techniques of regional anesthesia have been proposed to provide analgesia to the anterior thoracic cage; notably, most of these techniques require a parasternal approach. However, in this context, the potential role of a more common and well-established technique, namely the modified pectoral nerve block (known as PECS II block), has been poorly investigated. Here, we describe a case involving a patient with bilateral anterolateral multiple rib fractures associated with sternum fracture, who was successfully treated using bilateral PECS II blocks. Our experience indicates that the PECS II block can provide excellent analgesia in cases involving anterior rib and sternum fractures. Because it is easier to perform and may be safer than other parasternal techniques, the PECS II block should be considered when providing analgesia for traumatic injuries of the anterior thorax. The Korean Society of Emergency Medicine 2020-03-31 /pmc/articles/PMC7141978/ /pubmed/32252136 http://dx.doi.org/10.15441/ceem.18.089 Text en Copyright © 2020 The Korean Society of Emergency Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/).
spellingShingle Case Report
Pietro, Santi Di
Mascia, Benedetta
Bianco, Giuliano Lo
Perlini, Stefano
Iotti, Giorgio Antonio
Anterior cutaneous nerve block for analgesia in anterior chest trauma: is the parasternal approach necessary?
title Anterior cutaneous nerve block for analgesia in anterior chest trauma: is the parasternal approach necessary?
title_full Anterior cutaneous nerve block for analgesia in anterior chest trauma: is the parasternal approach necessary?
title_fullStr Anterior cutaneous nerve block for analgesia in anterior chest trauma: is the parasternal approach necessary?
title_full_unstemmed Anterior cutaneous nerve block for analgesia in anterior chest trauma: is the parasternal approach necessary?
title_short Anterior cutaneous nerve block for analgesia in anterior chest trauma: is the parasternal approach necessary?
title_sort anterior cutaneous nerve block for analgesia in anterior chest trauma: is the parasternal approach necessary?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141978/
https://www.ncbi.nlm.nih.gov/pubmed/32252136
http://dx.doi.org/10.15441/ceem.18.089
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