Pectointercostal fascial plane block for rescue pain management of traumatic sternal fracture following inadequate thoracic epidural block: a case report

Adequate pain control after multisystem trauma including the chest wall is essential for improved patient outcomes, especially with sternum and rib fractures. The thoracic epidural is considered the gold standard in pain management of thoracic injury; however, failure or patchy epidural is not uncom...

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Autores principales: Hsu, Michael, Kinthala, Sudhakar, Huang, Jordan, Kapoor, Neel, Saththasivam, Poovendran, Porter, Burdett
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8968248/
https://www.ncbi.nlm.nih.gov/pubmed/35368380
http://dx.doi.org/10.1093/jscr/rjac073
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author Hsu, Michael
Kinthala, Sudhakar
Huang, Jordan
Kapoor, Neel
Saththasivam, Poovendran
Porter, Burdett
author_facet Hsu, Michael
Kinthala, Sudhakar
Huang, Jordan
Kapoor, Neel
Saththasivam, Poovendran
Porter, Burdett
author_sort Hsu, Michael
collection PubMed
description Adequate pain control after multisystem trauma including the chest wall is essential for improved patient outcomes, especially with sternum and rib fractures. The thoracic epidural is considered the gold standard in pain management of thoracic injury; however, failure or patchy epidural is not uncommon. Pectointercostal fascial plane block (PIFB) is regularly used in cardiac surgery to provide analgesia to the anterior chest wall; however, there are few reports of PIFB being used as a primary block for the management of thoracic injuries. We present a case in which PIFB was used as a rescue block for the successful management of sternal pain following patchy thoracic epidural block in a patient with thoracic polytrauma.
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spelling pubmed-89682482022-03-31 Pectointercostal fascial plane block for rescue pain management of traumatic sternal fracture following inadequate thoracic epidural block: a case report Hsu, Michael Kinthala, Sudhakar Huang, Jordan Kapoor, Neel Saththasivam, Poovendran Porter, Burdett J Surg Case Rep Case Report Adequate pain control after multisystem trauma including the chest wall is essential for improved patient outcomes, especially with sternum and rib fractures. The thoracic epidural is considered the gold standard in pain management of thoracic injury; however, failure or patchy epidural is not uncommon. Pectointercostal fascial plane block (PIFB) is regularly used in cardiac surgery to provide analgesia to the anterior chest wall; however, there are few reports of PIFB being used as a primary block for the management of thoracic injuries. We present a case in which PIFB was used as a rescue block for the successful management of sternal pain following patchy thoracic epidural block in a patient with thoracic polytrauma. Oxford University Press 2022-03-30 /pmc/articles/PMC8968248/ /pubmed/35368380 http://dx.doi.org/10.1093/jscr/rjac073 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Hsu, Michael
Kinthala, Sudhakar
Huang, Jordan
Kapoor, Neel
Saththasivam, Poovendran
Porter, Burdett
Pectointercostal fascial plane block for rescue pain management of traumatic sternal fracture following inadequate thoracic epidural block: a case report
title Pectointercostal fascial plane block for rescue pain management of traumatic sternal fracture following inadequate thoracic epidural block: a case report
title_full Pectointercostal fascial plane block for rescue pain management of traumatic sternal fracture following inadequate thoracic epidural block: a case report
title_fullStr Pectointercostal fascial plane block for rescue pain management of traumatic sternal fracture following inadequate thoracic epidural block: a case report
title_full_unstemmed Pectointercostal fascial plane block for rescue pain management of traumatic sternal fracture following inadequate thoracic epidural block: a case report
title_short Pectointercostal fascial plane block for rescue pain management of traumatic sternal fracture following inadequate thoracic epidural block: a case report
title_sort pectointercostal fascial plane block for rescue pain management of traumatic sternal fracture following inadequate thoracic epidural block: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8968248/
https://www.ncbi.nlm.nih.gov/pubmed/35368380
http://dx.doi.org/10.1093/jscr/rjac073
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