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

Michael Hsu, Sudhakar Kinthala, Jordan Huang, Neel Kapoor, Poovendran Saththasivam, Burdett Porter

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

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.

Original languageEnglish (US)
Article numberrjac073
JournalJournal of Surgical Case Reports
Volume2022
Issue number3
DOIs
StatePublished - Mar 1 2022
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2022 Published by Oxford University Press and JSCR Publishing Ltd.

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