TY - JOUR
T1 - Pectointercostal fascial plane block for rescue pain management of traumatic sternal fracture following inadequate thoracic epidural block
T2 - A case report
AU - Hsu, Michael
AU - Kinthala, Sudhakar
AU - Huang, Jordan
AU - Kapoor, Neel
AU - Saththasivam, Poovendran
AU - Porter, Burdett
N1 - Publisher Copyright:
© 2022 Published by Oxford University Press and JSCR Publishing Ltd.
PY - 2022/3/1
Y1 - 2022/3/1
N2 - 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.
AB - 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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U2 - 10.1093/jscr/rjac073
DO - 10.1093/jscr/rjac073
M3 - Article
AN - SCOPUS:85128559902
SN - 2042-8812
VL - 2022
JO - Journal of Surgical Case Reports
JF - Journal of Surgical Case Reports
IS - 3
M1 - rjac073
ER -